Passport to the World | Summer 2018 Registration

PLEASE READ CAREFULLY. THIS REGISTRATION FORM MUST BE COMPLETED IN ITS ENTIRETY.


List all the information for the child enrolling.



















Please complete this section for each child listed above.











Please complete the section below.















Please complete this section with information other than above.











Children will only be released to a parent or a person designated by the parent/guardian after verification of ID. I hereby authorize the program to allow my child to leave ONLY with the following persons. Please list name and telephone number for each.

















I hereby give consent for my child(ren) to be transported and supervised for emergency medical care. In the event I cannot be reached to make arrangements for emergency medical care, I authorize the program to transport my child to:
















For each section below, check the (box)es indicating where or not you give your consent.










Please select one.








Please select the age group that your child will be placed in.


Please select the sessions your child will attend.















Privacy Policy   |   Report Abuse
Your submission is being processed. Please do not close this browser window until complete.