Please complete all items; the red asterisk items are required.
If the parent/guardian is not reachable, the following additional adults are authorized contacts for emergencies and pick-up after club.
Indicate your permission/agreement by checking all that apply:
To confirm your permission and above agreements, click in the box to enter your signature. Disregard "use your camera" and select the "sign with your mouse or trackpad" link option so sign using the cursor.
* indicates required fields