Student Information

So we can provide a fun and safe experience for your child(ren) please fill out the form below.
 
 
Child # 1 Name
Child # 1 Name
Child # 2 Name
Child # 2 Name
Parent Name *
Parent Name
Parent Phone *
Parent Phone
Address *
Address
How will your child(ren) be signed out *
Name of adult picking up child(ren) *
Name of adult picking up child(ren)
Phone of adult picking up child(ren) *
Phone of adult picking up child(ren)
Name of emergency contact *
Name of emergency contact
Phone of emergency contact *
Phone of emergency contact
May we have permission to use your child's(ren's) photos in promotional materials? *