ETFC Summer Program Registration Form

🌞 ETFC Youth Summer Programs
During the summer months, ETFC provides a variety of programs designed to keep children and teens engaged, active, and learning.

Our programs are designed for students 6 years old to 10 years and 11 years old to 17 years old.

Tuesdays/Thursdays: Ages 6-10 years old

Wednesdays: Ages 11-17 years old

Program will include:

🎨 Structured Enrichment Classes
These classes focus on creative skills and artistic expression.

🧪 STEM & Learning Activities
Hands-on science, technology, engineering, and math activities to build problem-solving skills.

🤸‍♂️ Active Club
Physical activities, games, and movement-based fun to keep kids active.

🧠 Youth Leadership: Elevate
Elevate – a Youth Leadership Program for ages 11-17, focusing on positive mindset development, community service, and leadership skills.

Lunch will be PROVIDED for all participates

We will have partners from The Toledo Zoo, Keep Lucas/Toledo County Beautiful, Imagination Station, WGTE Public Media, Heartstring Melodies, Toledo Art Museum, Spin and Splat, First Tee

We will be holding a drop in day on Fridays from 10AM to 2PM, this is only for youth ages 11 to 17 years old.

Student Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What age group is your child?

Parent/Guardian Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Emergency Contact

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to student:

(Mom, dad, grandma, grandpa, etc.)

Does the participate have any allergies, chronic illnesses, or medical conditions? If yes, please list or explain:

Does the participate need any special accommodations or assistance? If yes, please explain:

Participation Waiver: I fully understand that the East Toledo Family Center, the City of Toledo or any other agencies affiliated with the East Toledo Family Center in producing the recreational activities are not responsible for any and/or all injuries that might occur during the class ortravel to or from the said program, and I do hereby release the East Toledo Family Center, its officers, agents, employees and all agencies affiliated with the recreational activities, either directly or indirectly, from the responsibility of injuries that may occur as the result of participation in the program.

Photo Release: I also give permission for my child to be photographed for promotional reasons by the press, Center staff or other parents.

Do you give permission to the statements above:

Parent/Guardian Signature