Your Child's Information



Child's Primary Doctor

Child's Primary Dentist

Health History

Operation/Serious Injuries

Current Medications

Physical Limitations

Dietary Limitation

Are there any activities you would prefer your child NOT to participate in?

Photo Permission

Additional Comments/Information

Parent / Guardian Information

Emergency Contacts - Please list 2 that are NOT Parents

Child Pickup Authorization

NOT Authorized For Pickup



Your Information Has Been Received

To finish your application, you must sign some forms with your finger on a phone or tablet.
Please enter an email address that you can open on your phone.