Class Registration Form
Please complete this form prior to the first day of class to ensure your child will be able to participate.
Child's Name
Age
Please indicate the class or camp your child will be attending.
List the class title and day of the week your child will be attending.
Parent/Guardian's Name
Email
Phone
Please indicate an alternative emergency contact
Name, Phone, and Relationship
Please indicate a second alternative emergency contact
Name, Phone, and Relationship
I herby consent to the participation of my child
Yes
No
Does your child have any allergies?
List any allergies, reactions, and course of action needed should they have an allergic reaction.
Register