REGISTRATION

How many children are you registering ?

Child's Information

Name

Age

Does this child have any allergies or physical limitations that the staff should be aware of?

#2 Child's Information

Name

Age

Does this child have any allergies or physical limitations that the staff should be aware of?

#3 Child's Information

Name

Age

Does this child have any allergies or physical limitations that the staff should be aware of?

Parent/Guardian Information

Name:

Cell Phone Number

Work Phone Number

Address

Annual Registration Fee

2025 Fee ($5 per child) ($5.00)
2025 Fee ($5 per child) ($10.00)
2025 Fee ($5 per child) ($15.00)
Please contact me to pay in cash or by check ($0.00)
If the registration fee presents a financial hardship, please select this option to register at no cost. ($0.00)

Terms

By signing below, I acknowledge that The Salvation Army, its officers, staff and/or volunteers will not be held responsible for any injury, loss or damage of personal property for the above named individual(s).

I give permission to copyright and/or publish images of my child in photographs and/or any media format for the expressed use of The Salvation Army.

I, the undersigned, agree to the terms above.

Billing Information

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Mobile Phone Number

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

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