Area 57 Winter Fun Day

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Parent/Guardian Name
Address

Student Registration

To register multiple students, click the "add student" button after the allergy/medical box.

If you are registering students from multiple households, please submit a separate registration for each household.

Student Name
Food allergy, other allergy, medical, or special needs?

Permission to Participate

By signing below, as parent or guardian of the registered student(s), I do hereby give permission for (student/s) to attend and skate during the Area 57 Winter Fun Day on February 22nd. I understand the permission to include emergency medical treatment in case I/we cannot be reached in a medical emergency.
Clear Signature

Payment

Price per Student: $10.00
Please use the dropdown to select the number of students you are registering.
$0.00
Payment Method