ADVENTure Club Registration Form
Please fill out one registration form for each of your children & indicate which dates they will be attending.
Student Name
First Name
Middle Name
Last Name
Grade 26-27 school year
Phone number where Parent/Guardian can be reached during ADVENTure Club
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian E-mail
example@example.com
Please indicate which date(s) your child will attend:
Wednesday, December 2nd
Wednesday, December 9th
Does your child have any allergies or dietary restrictions?
Parents do not have to stay at ADVENTure Club, but some choose to. Please let us know if you are planning on staying (this helps us plan for adult helpers).
Yes
No
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