2019 Safety Town Sign-up
Please use this form to sign of for Wadsworth Safety Town. Payment is due on your child's first day of Safety Town. Checks can be made out to to Wadsworth City Schools.
Student Name *
Your answer
Gender
Birthdate *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Parent/Guardian Email Address *
Your answer
Home Address (We will use this address to practice memorizing with your child.) *
Your answer
Will the student be attending Wadsworth City Schools in the fall of 2019? *
Please indicate anyone other than the parent/guardian that has permission to pick up your child. Please include name and phone number.
Your answer
Does your child have any food or environmental allergies? *
If you answered yes to the previous question please provide additional information regarding your child's allergies.
Your answer
Please indicate your child's t-shirt size. A t-shirt is included with your registration. *
Is your child attending Safety Town through the Wadsworth KinderCare? *
Please choose your Safety Town week and time. Registration for each session will be capped at sixty participants.
AM Session 9:00-11:30
PM Session 12:45-3:15
Week 1: July 15th - 19th (AM Session is full)
Week 2: July 22 - 26th
My child may ride the school bus on school bus safety day. (The school bus is driven by a licensed bus driver employed by WCS.) *
We love to take pictures of your kids having fun at Safety Town! May we use your child's image for promotional materials for future Safety Town advertising or page designs? (Names will not be used in conjunction with the photos) *
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