Beyond Expectations Registration Form
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Email *
Participant First Name *
Participant Last Name *
Participant Email Address *
Participant Mobile Number
Date of Birth *
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School *
Grade Level
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Participant Allergies
Parent Name *
Parent Email Address *
Mailing Address *
Parent/Adult Email Address *
Emergency Contact Name/Relationship *
Emergency Contact Mobile Number *
Beyond Expectations has my permission to use photographs and video of my child in publications for advertising, marketing, and publicity. *
Required
My child has my permission to attend events and trips sponsored by Beyond Expectations. Details of these events and trips will be provided in advance by Beyond Expectations program staff. *
Required
Beyond Expectations has my permission to correspond directly with my child. *
Required
Beyond Expectations has my permission to obtain my child's grades to monitor behavioral and academic progress.   *
Required
Participation in Beyond Expectations is strictly voluntary. By typing your name on this form you hereby release Beyond Expectations and program volunteers from any liability and hereby authorize your child to participate in Beyond Expectations. You are also indicating that all the information on this form is true and accurate to the best of your knowledge. (Please type your name below.) *
A copy of your responses will be emailed to the address you provided.
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