EAC Interest Form

EAC Interest Form

Register your child(ren) ages 6-14 for Echo Adventure Club programs. Please complete all required sections. This form is for parents/guardians only.
PLEASE READ CAREFULLY BEFORE COMPLETING THIS INTEREST FORM

DISCLAIMER:

Our program is designed to support students within a general activity-based setting. At this time, we are not equipped to provide specialized care or services for children with significant medical, developmental, or behavioral needs. We encourage families requiring specialized support to seek programs with the appropriate resources to best meet their child’s needs.

Echo Adventure Club is a faith-based organization. Our programs may include references to spiritual principles and values rooted in our beliefs. Participation is open to all individuals regardless of religious background.

Echo Adventure Club does not discriminate on the basis of race, color, or national origin in the administration of its educational programs, admissions, or activities.
How did you hear about our program?
Parent/Guardian Information

Please provide your contact details.
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you interested in enrolling your child into our program?
Additional Comments or Questions
Should be Empty: