exTreme Registration
May 31st, June 1st, and June 2nd, 2019 ~ For ages Pre-school through 5th Grade
exTreme Weekend Registration Form
(Form needed for EACH child that will be attending)
Child's Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
Email
example@example.com
Child's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please list any allergies your child may have:
*
Child's LAST grade completed in school (Remember, Extreme is for ages Pre-school through 5th Grade)
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Other than the parents/guardians, who is allowed to pick up your child?
*
Can we post your child(ren)'s pictures on our Website/Facebook?
*
Yes
No
What is your child's shirt size?
*
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult XS
Adult S
Adult M
Adult L
Adult XL
Submit
Should be Empty: