Ethics for Children 2017-2018 Registration Agreement
ETHICS FOR CHILDREN 2017/2018 REGISTRATION AGREEMENT
Please fill out all relevant information. You may register more than one child on the same form. Registration is on-going throughout the year as long as there is room in the program.
Please provide some information about yourself.
Parent 1 Name *
Your answer
Parent 1 Phone Number *
Your answer
Parent 1 Email *
Your answer
Parent 1 Mailing Address *
Your answer
Parent 2 Name
Your answer
Parent 2 Phone Number
Your answer
Parent 2 Email
Your answer
Parent 2 Mailing Address (if different than above)
Your answer
Please provide some information about your child(ren).
Child 1 Name: *
Your answer
Child 1 Birthday: *
Your answer
Child 1: 2017/18 Grade in School *
Your answer
Child 1 Allergies
Please list any allergies below
Your answer
Child 2 Name:
Your answer
Child 2 Birthday:
Your answer
Child 2: 2017/18 Grade in School
Your answer
Child 2 Allergies
Child 3 Name:
Your answer
Child 3 Birthday:
Your answer
Child 3: 2017/18 Grade in School
Your answer
Please list any allergies below
Your answer
Child 3 Allergies
Please list any allergies below
Your answer
Tell us More...
We are partners in creating a community that fosters every child's growth. Please share what is unique about your child/ren and what they need to grow at Ethics for Children. What brought you to ECSW and the EFC Program?
Your answer
The curriculum assumes that children are at grade level. For example, children in third grade or above might be invited to read aloud. Please let us know about any modifications that are necessary for your child's participation. The information provided will be reviewed by the EFC Program facilitators and shared with EFC staff members.
Your answer
Please use this space to tell us anything you think we should know about your child. Any medically relevant information, special needs, etc.
Your answer
Volunteering
In order for our program to run smoothly, we rely on the commitment of families to volunteer for our program. Please indicate your interest below:
Permission Slip
I give permission for my child/ren, named above to participate in field trips taken by the EFC program during the 2016 – 2017 season, provided additional information concerning individual trips is distributed as appropriate. I understand that transportation will be by bus or private car with safety belts. I hereby release ECSW from any liability. *
Media Release
I give permission for my child/ren, named above to participate in field trips taken by the EFC program during the 2017/18 season, provided additional information concerning individual trips is distributed as appropriate. I understand that transportation will be by bus or private car with safety belts. I hereby release ECSW from any liability. *
Untitled Title
*Please note that photos used for class presentations and/or parent updates are considered internal and are not subject to these restrictions. If you do not want your child's name/photo to be included in any class presentations or emails, please notify the EfC Director in writing.
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