• Registration Form

  • Format: (000) 000-0000.
  • Do you allow your child to be photographed or video taped for promotional purposes of this program?*

  • WAIVER & RELEASE

  • By hitting submit and electronically signing, I agree that I am the parent or legal guardian of the above named student, and am over the age of 18.  I hereby give consent to FRIENDS ENRICHMENT PROGRAM to provide professional medical attention, customary medical/athletic training attention, transportation and emergency medical services as warranted in the course of my child’s participation in any activity contracted under FRIENDS ENRICHMENT PROGRAM. I am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses associated with participation in any of our programs. I further agree that FRIENDS ENRICHMENT PROGRAM along with employees, agents, officers and directors of this organization shall not be liable for any losses or damages occurring as a result of my child’s participation in any program. I understand my child may be used in photos/videos solely for the social media accounts of FRIENDS ENRICHMENT PROGRAM unless I state otherwise directly to an employee of FRIENDS ENRICHMENT PROGRAM. I also understand that there are no refunds and or transfers of payment for any program.

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<\/head>\n
 <\/td>\n <\/tr>
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 <\/td>\"\"<\/td>{form_title}<\/strong><\/td>\n <\/tr><\/tbody><\/table>
 <\/td>\n \n
<\/td>{participantsInformation84}<\/td><\/tr>
Date of Birth<\/td>{dateOf}<\/td><\/tr>
Name of the School Student currently attends<\/td>{nameOf}<\/td><\/tr>
Teacher's Name or Classroom #<\/td>{teachersName}<\/td><\/tr>
Has your child been diagnosed with a medical condition or has a disability that you would like to share with us? <\/td>{hasYour}<\/td><\/tr>
<\/td>{parent}<\/td><\/tr>
Relationship to Student?<\/td>{relationshipTo92}<\/td><\/tr>
Best Contact Number<\/td>{bestContact}<\/td><\/tr>
Email<\/td>{email}<\/td><\/tr>
Address<\/td>{address}<\/td><\/tr>
Choose Program(s) of Interest<\/td>{choosePrograms}<\/td><\/tr>
Do you allow your child to be photographed or video taped for promotional purposes of this program?<\/td>{doYou96}<\/td><\/tr>
Electronic signature:<\/td>{electronicSignature}<\/td><\/tr>
<\/td>{typeA}<\/td><\/tr><\/tbody><\/table><\/td>\n  <\/td>\n <\/tr>
 <\/td>\n  <\/td>\n  <\/td>\n <\/tr><\/tbody><\/table><\/td>\n <\/tr>
 <\/td>\n <\/tr>
\n
You can {edit_submission} and {all_submissions} easily.<\/div> <\/td>\n <\/tr>
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