Pathfinder & Adventurer Registration

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Pathfinder and Adventure Sign up form New

Company

This field is for validation purposes and should be left unchanged.

Parents/ Guardians Name*

First Last

Parents/ Guardians Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Emergency Contact Name*

First Last

Emergency Phone #*

Child/Children Name & Age*

Please List any Known allergies your child may have*

In case of any emergency, is it ok for your child or children to be treated from the nurse on duty during Club hours.*

Yes

Who is allowed to pick up your child/children at the end of the hours?*

Photographs will be taken during Club. By checking YES / NO indicates I am giving permission for my child’s photo to be taken.

Yes