2019-2020 Registration
Please fill out one form for each child you will be registering.
Email address *
How many children are you registering? (please fill out a form for each child) *
Your answer
Child's First Name *
Your answer
Last Name
Your answer
Age *
Your answer
Child's Address *
Your answer
School *
Grade *
Dietary Restrictions *
Food and Medical Allergies *
please list all foods or medications your child cannot have
Your answer
Physican's Name *
Your answer
Physican's Phone Number *
Your answer
List any health conditions
Your answer
list any medications your child uses
Your answer
Father Info:
Name
Your answer
Father's Phone Number
Your answer
Father's email
Your answer
Mother's Name:
Your answer
Mother's Phone:
Your answer
Mother's email:
Your answer
Who should receive the monthly invoices? *
Which option best describes your needs.
Who does the child live with? *
List all persons that may pick your child up.
Your answer
List any persons not allowed to be in contact with your child.
Your answer
Media Consent *
I hereby consent to have my child photographed, videotaped, and audio taped, and/or interviewed by individuals as it relates to The STBU only. I understand that my permission must be given before my child's photo is used.
Payment *
I understand that my deposit is non-refundable. You will receive a PayPal invoice within 2 business days.
A copy of your responses will be emailed to the address you provided.
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