exTreme Registration

exTreme Registration

May 31st, June 1st, and June 2nd, 2019 ~ For ages Pre-school through 5th Grade
exTreme Weekend Registration Form

(Form needed for EACH child that will be attending)
Child's Name *

First Name Last Name
Parent/Guardian Name *

First Name Last Name

Address *

Primary Phone Number *

Area Code Phone Number
Alternate Phone Number

Area Code Phone Number
Email
example@example.com
Child's Date of Birth *

Month Day Year
Date Date Picker Icon
Please list any allergies your child may have: *
Child's LAST grade completed in school (Remember, Extreme is for ages Pre-school through 5th Grade) *
Other than the parents/guardians, who is allowed to pick up your child? *
Can we post your child(ren)'s pictures on our Website/Facebook? *

Yes No
What is your child's shirt size? *
Should be Empty: