Junior Student Service

Please select a session to register: *

July 16 (Wed) 1-3pBird St Shelter

$15.00 Quantity

July 31 (Thur) 4:30-6:30pBird St Shelter

$15.00 Quantity

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Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Street Address

Street Address Line 2

City

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How many students are you registering?*

123

Parent/Guardian Name:*

First NameLast Name

Authorized Pickup Name(s):*

Parent Cell: *

Please enter a valid phone number.

Parent Email:*

example@example.com

Student Information

Please fill out the following student information for each student attending class.

Participating Student's Name:*

First NameLast Name

Student's Age:*

Student's School:*

Student's Grade:*

Student Pronouns*

He/himShe/herThey/them

Does your student have allergies we need to be made aware of?*

YesNo

Please list allergens:*

Student Information #2

Please fill out the following student information for each student attending class.

Participating Student's Name #2:*

First NameLast Name

Student's Age #2*

Student's School #2*

Student's Grade #2:*

Student Pronouns #2*

He/himShe/herThey/them

Does your student have allergies we need to be made aware of? #2*

YesNo

Please list allergens #2:*

Student Information #3

Please fill out the following student information for each student attending class.

Participating Student's Name #3:*

First NameLast Name

Student's Age #3:*

Student's School #3*

Student's Grade #3:*

Student Pronouns #3*

He/himShe/herThey/them

Does your student have allergies we need to be made aware of? #3*

YesNo

Please list allergens #3:*

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You're a couple clicks away from registering for class.

Photography Waiver: I hereby give my permission to the IHS and to the photographer, my free and unlimited consent and permission to publish/broadcast, republish/rebroadcast or exhibit the furtherance of their work, with or without identification of me or my child(ren) by name, any photographs, videos or audios of my child, that have been obtained from his/her participation at the Idaho Humane Society. I furthermore waive any and all claims for any compensation by reason thereof or for damages for reasons thereof.*

Yes, I agreeNo, I do not want publicly shared photos of my child

No refunds will be provided for cancellations made within two weeks of the class start date.*

Yes, I agree

Signature of Parent/Guardian:*

Date signed by Parent/Guardian:*

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