McGregor Summer Programming Schedule & Registration (Kids Plus, 21st CCLC & Big Sandy Water Institute)
Once you submit the form, you will receive an email with your responses. You will also receive a link in your email with an option to edit your responses. You will be able to edit your responses up until the registration deadline.
Email *
Participant's Last Name *
Participant's First Name *
Age *
Address *
City *
State *
Zip *
Please list any medical conditions that we should be aware of (activity restrictions, health problems and/or medications):
Phone *
Emergency Phone *
Contract - I understand that every effort will be made to protect and safeguard all students. I agree not to hold ISD #4 and its entities liable for any illness or mishap from any cause whatsoever. I also give the instructors/supervisors full authority in handling discipline if necessary. I understand that any student disregarding rules is subject to being sent home. I understand that any student who willfully destroys property will be held responsible and charged accordingly. By checking the following checkbox and typing my name below, I am electronically signing this contract. *
I give ISD #4 permission to use comments, photos and video of the student named above in its promotional materials. *
Parent/Guardian Signature *
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