Register your child and receive more information by filling out the form below. Contact firstname.lastname@example.org if you have any questions or if you prefer to fill out the form in person.
Please note that by submitting this form you agree to the following:I assume all risk and hazards of the conduct of the program and release from responsibility any person providing transportation to and from activities. In case of injury, I hereby waive all claims or legal actions, financial, or otherwise against Family Support Network of Central Carolina, their elected officials and employees, the organizers, sponsors, supervisors or any volunteer connected with the program. In absence of a signature, participation in the program shall constitute and acceptance of conditions set forth in the release. I grant full permission to use photographs, videotapes, motion pictures, recordings or any other record of this program for educational/promotional purposes.