Thompson Generation To Generation Week Registration
Student Registration and Permission form must be submitted prior to participation, August 5-8, 2019. Paper permission slips are also available and registration may be completed via phone if you prefer. 457-3277.

The proven benefits of inter-generational activities are numerous and meaningful to both generations. We're so glad that you're joining us for our 3rd GENERATION TO GENERATION week!

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Participant's Name: *
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Mailing Address: *
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Participant's Date of Birth: *
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Participant's Age: *
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Please list any food allergies/medical concerns that we should know about (it is important that YOU SEND a lunch if the meal of the day is not something that your child will eat):
Your answer
I have another child who will also be participating with the same schedule: *
IF YES, please provide additional children's name, age, date of birth, & any allergies, OR note if you would rather fill out a separate registration/permission form for that child. If completing one form for multiple children, permissions/consents & contact information will apply to all:
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I, parent/guardian of the above named child(ren), consent to my child(ren) participating in the Thompson's Gen2Gen week, August 6-10, 2018. I agree that my child's participation in this activity is purely voluntary. I agree not to hold the Thompson Center liable or responsible for any loss or injury sustained by my child(ren) arising in connection with his/her participation in this event. Please type your name as electronic signature: *
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Parent/Guardian Name: *
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Parent/Guardian Contact Number(s): *
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Emergency Contact(s), if different:
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Please Select ALL of the events, by day & time, that your child will be participating in: *
Required
Is there anything else we should know?
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Photo Consent: I, parent/guardian of the above named child(ren), consent to my child(ren) being photographed during Generation to Generation activities for use in the newspaper or on the Thompson's webpage. The child's name will not be used with photos. #Gen2Gen is the hashtag for the Generation to Generation project. *
THANK YOU! Please contact Deanna Jones at The Thompson if you have any questions or if transportation is an issue. djones@thompsonseniorcenter.org or 457-3277
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