Parent Swap Registration Form 2025

Registration Form
Parent Swap: Saturday June 28th, 2025

Registration begins at 9:00am
Location: Gateway Technical College Sponsoring Organization: A&S Unlimited Solutions 2711 19th St. Racine, WI 53403
Parent/Guardian Information
Name

First NameLast Name
Phone Number
E-mail
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Children Information

(All registered children participating MUST be 7-12 years of age.)
Child's Full Name

First NameLast Name
Age
Grade
Child's Full Name

First NameLast Name
Age
Grade
Child's Full Name

First NameLast Name
Age
Grade
Child's Full Name

First NameLast Name
Age
Grade
Photo Release:

The undersigned additionally gives permission for A&S Unlimited Solutions to publish photographs or video of my child on A&S website, newspaper, and social media sites
I agree to photo release:

YesNo
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
Date
Signature

Clear
Should be Empty:

Registration Form