Registration Form

Parent | Legal Guardian *
Parent | Legal Guardian
Phone Number (phone and sms capable preferred) *
Phone Number (phone and sms capable preferred)
Child's Name *
Child's Name
Home Address *
Home Address
Emergency Contact *
Emergency Contact
Emergency Phone Number *
Emergency Phone Number
Activity *
Which activity would you like to register for? (Select all that apply)
2nd Emergency Contact
2nd Emergency Contact
Phone Number
Phone Number
Date of Signature *
Date of Signature
Parent | Guardian Signature *
Parent | Guardian Signature