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Armada Community Enrichment Program Winter 2018 Registration Form
Early registration is advised. Programs fill up fast & have limited enrollment. Registrations are taken in the order they are received. A registration received after the deadline does not guarantee placement in the program. Photo release: ACEP takes pictures at various events. By registering for or participating in any ACEP sponsored event you agree to allow ACEP to publish those photos. Make checks payable to ACEP.
Participant's Last Name *
Your answer
Participant's First Name *
Your answer
Parent's Last Name *
Your answer
Parent's First Name *
Your answer
Parent's Email Address *
Your answer
Address (street number & name) *
Your answer
City *
Your answer
Zip *
Your answer
Participant's Birth date (Month/Day/Year) *
Your answer
Participant's Grade
Your answer
Participant's Teacher
Your answer
Any Allergies? *
Parent's Cell Phone *
Your answer
Parent's Cell Phone (2nd one)
Your answer
Home Phone
Your answer
Class Enrolling for *
Required
Any other information ACEP should know
Your answer
Shirt Size *
I hereby waive and release the Armada Community Enrichment Program and Armada Area Schools, its agents, employees and volunteers, from any and all liability for claim or cause of action that might arise or result from my (or my child's) participation in program activities. ACEP takes pictures at various events. By registering for or participating in any ACEP sponsored event you agree to allow ACEP to publish those photos. *
Required
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