ECCL SAFG Registration
Scientific Adventures for Girls Registration
Which program are you applying for? *
Child's Name *
Name
Your answer
Child Grade *
My child attends ECCL's Recreation Aftercare Program and should be released to the Rec after this science class. *
Required
Parent/Guardian Name *
Name
Your answer
Parent/Guardian Email Address *
Your answer
Parent/Guardian Cell Phone Number *
Your answer
Why does your child want to participate in a SAFG class?
Your answer
I understand that photography and video is often used during SAFG classes for documentation. Sometimes photos are used for sharing on our website, print materials or social media. *
Does your child have any allergies we should be aware of? *
Your answer
Additional Emergency Contact Name *
Your answer
Additional Emergency Contact Phone Number *
Your answer
I understand that if my child is chosen to participate in this SAFG class, she will attend all classes for the full class time and not leave early (except for sickness). If my daughter has more than two unexcused absences, she will be dropped from the class. absences or leaves early more than two times, she will be dropped from the class. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Scientific Adventures. Report Abuse - Terms of Service