2017-2018 Program Year Registration
We want to make sure parents know about all of our programs offered for their children and youth. To make things easier, we have created one registration form for everything! Each child/youth will need to be registered separately, but the one registration form includes all programs.
Participant's First Name *
Your answer
Participant's Last Name *
Your answer
Preferred Name
Your answer
Birth Date *
MM
/
DD
/
YYYY
Gender
Grade in School *
What school does your child attend?
Your answer
What are you registering your child for?
Address
Street Address, City, State, Zip Code
Your answer
Child's/Participant's Email
If applicable
Your answer
Child's/Participant's Cell Phone
If applicable
Your answer
Allergies or other conditions we should be aware of: *
Please type "none" if this question does not apply
Your answer
Additional information you would like us to know about your child:
Your answer
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