* Student Name
Student's Current Grade / Age
Student's Most Recent School
T-Shirt Size (Adult sizes, 1 Included with tuition)
Parent / Guardian Name
* Parent / Guardian Name
Parent Phone Number
* Parent Phone Number
* Home Address
Medical & Behavioral History / Information
Please be sure to answer each of the following prompts comprehensively, including any possible information you feel we may need to know. we appreciate your transparency.
Emergency Contact Name
* Emergency Contact Name
Emergency Contact Phone Number
* Emergency Contact Phone Number
Does your child have any allergies or medical conditions of any kind?
Please list any medical conditions, allergies, eccentricities, or possibly relevant information relating to the well-being of the program registrant.
This program does not administer medication of any kind. Does your child carry any medication with them on a regular basis? (Ibuprofen, allergy medicine, etc)
Please answer the following questions to the best of your ability.
What is your child hoping to gain from this experience?
Make new friends, Enjoy learning
How did you hear about us?
By typing or signing my name on this form, I am entering my signature or "electronic signature" (as defined in the Uniform Electronics Act, C.R.S. 24-713-101 ff.), and certifying that I have read, fully understand and accept all terms of this registration. *
Thank you so much for registering! Someone from our team will be in touch with you within 24 hours to answer any question you may have, and finalize your registration. We look forward to speaking with you!