WAW Registration Form 2026

WAW Registration Form 2026
Student Name

First NameLast Name
Student DOB

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grade
School
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Emergency Contact #1

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #2

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Allergies
Medications
Medical Conditions/ Special Needs
CHECK ALL THAT APPLY
Participation Permisson
Emergency Medical Authorization
Photo/ Video Release
Transportation Permission
Field Trip Permission
Parent/ Guardian Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
FOR OFFICE USE ONLY
Priority Family (Red Sticker)
Waitlist
Registration Number
Entered into ProCare by
Should be Empty: