Friday Fun Days Registration Form
Join us for a day of fun!
Kids ages 9-12 year old!
$20 per child per day

You can register for just 1 day or all 3!

Email address *
Which fun day are you registering for? You can choose 1, 2, or all 3! *
Required
Camper Name (First, Middle, Last) *
Your answer
Preferred Name (if applicable)
Your answer
Age *
Your answer
School Name *
Your answer
Grade (as of June 15) *
Your answer
Parents Name #1 *
Your answer
Parents Name #2
Your answer
Child Home Address
Your answer
Home Phone *
Your answer
Parent Cell Phone *
Your answer
Emergency Contact #1 (Name and Phone Number) *
Your answer
Emergency Contact #2 (Name and Phone Number) *
Your answer
Please list people who are permitted to pick up your child (please include parents). You can change this later if needed by notifying AW-OLC staff. *
Your answer
Does your child have any allergies (i.e. food, animals, gluten, dairy, etc)? *
If yes, please list allergies-
Your answer
Are there any special medical concerns that staff should be aware of, such as but not limited to, diabetes, asthma, epilepsy, previous injuries to bones/joints? *
Your answer
I understand that I will be notified in the case of a medical emergency involving my child. In the event that myself or emergency contacts cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. *
I understand that the Allison Woods Outdoor Learning Center will not be responsible for the medical expenses incurred, but that such expenses will be my responsibility as parent/guardian. *
Photo Release- Please choose 1 *
Allison Woods Outdoor Learning Center is not responsible for lost or damaged personal property. All scheduled events are subject to change. I understand that no fees will be refunded or transferred unless a child is unable to participate due to an accident or illness per physician orders. *
Thank you for completing the Allison Woods Monday Fun Days Registration Form! We cannot wait to meet you and your child! To complete payment ($20 per child per day- extra care till 5 add $10), please send a check/cash to Allison Woods Outdoor Learning Center 248 Allison's Woods Dr. Statesville, NC 28625, or you may pay via PayPal at www.allisonwoodsoutdoorlearningcenter.com. If you have any questions, please call 704-873-5976.
Your answer
A copy of your responses will be emailed to the address you provided.
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