Playsafe 2017-2018

Playsafe Cover 2017-2018-page-001

Reg. form.pub 2017.2018 (1)-page-001

 

Registration schedule can be downloaded by clicking this link

 

School Attending
Child's Name
Grade
Teacher:
Please list an medical concerns or food allergies.
Second Child's Name
Grade
Teacher:
Please list an medical concerns or food allergies.
Mother/Legal Guardian Name
Mother/Legal Guardian Address:
Mother Phone/cell number
Mother E-Mail:
Father/Legal Guardian Name
Father/Legal Guardian Address:
Father Cell phone:
Father E-mail:
Please list at least two names, besides yourself, whom you authorize to pick-up your child.
1. Name:
2. Name:
1. Full Name and Number
2. Full Name and Number
The Park will not be responsible for any toys, hand held games or personal belongings your child/children brings to PlaySafe.
My child/children and I agree to abide by the Park's rules and regulations in order to maintain the safety and security of this program.