Membership Form -Discovery Learning Center of Santa Cruz
Registration Form for Lending Library and Supporting Memberships
Last Name *
Your answer
First Name *
Your answer
Additional parent/guardian names
Your answer
Phone *
Your answer
Emergency Contact number (if different)
Your answer
Email *
Your answer
Would you like to be included on our email list? *
Street Address
Your answer
City
Your answer
Zipcode
Your answer
Membership Types
New or Renewal *
Membership Type *
Term *
Required
Children
Name of and birth year of Child 1
Your answer
Name of and birth year of Child 2
Your answer
Name of and birth year of Child 3
Your answer
Name of and birth year of Child 4
Your answer
Volunteering
The Discovery Learning Center is a volunteer run organization. In order to keep prices low we rely on the community we serve to run the center. A small contribution of your time goes a long way. There are a variety of tasks we need to accomplish from helping with the lending library to taking out the trash.
I can help with:
Photo Release
*"We occasionally take photos at DLC events for use on our website and in our brochures. Children in photos are never identified by name. Checking "yes" below will make it easier for us to use photos we take, since it's hard to track all the children in a particular shot. The DLC reserves the right to use any photo in which children's faces are not clearly identifiable, regardless of photo permissions."
I permit the DLC to use photos of my family on their website or other promotional materials. *
Payment
Would you like to pay online or in person? *
Terms
I agree to the terms and Policies of the Discovery Learning Center http://www.dlcsantacruz.org/procedures-manual (see page 7 in manual for current terms) *
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