Ages 8 - 15 welcome. Free! Pre-registration required.
Location: The Salvation Army Corps Community Center
710 Pennsylvania Avenue
Sheboygan, WI 53081

Registration

How many children are you registering ?

Child's Information

Name

Age

Grade:

School:

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

#2 Child's Information

Name

Age

Grade:

School:

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

#3 Child's Information

Name

Age

Grade

School

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

If you cannot be reached, who should be notified IN CASE OF EMERGENCY?

Name

Phone Number

Alternative Phone Number

Additional Individuals Approved to Pick Up

Name

Phone Number

Relationship to Child

Name

Phone Number

Relationship to Child

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).

If my child will be absent from the program or will be picked up early, I will contact The Salvation Army at least 24 hours before the event/program. I agree to pick up my child at the specified time until other arrangements have been made. I understand that The Salvation Army will not release my child to any individual not listed as a guardian/parent or approved contact.

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.