PLEASE READ CAREFULLY. THIS REGISTRATION FORM MUST BE COMPLETED IN ITS ENTIRETY.
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 transport my child to: