Location: The Salvation Army Corps Community Center
710 Pennsylvania Avenue
Sheboygan, WI 53081


Child's Information

#2 Child's Information

#3 Child's Information

Parent/Guardian Information

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

Additional Individuals Approved to Pick Up

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.

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