Parent Trek Sign Up
Welcome to Parent Trek! Upon completion of this registration, you will receive notifications for our monthly hikes as well as in-person and online parent centered events.  You may unsubscribe at anytime. When in person, we will meet in small groups and follow social distancing guidelines.  Contact information will only be used internally and will not be shared.  Life's an adventure. Let's Go!
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First Name *
Last Name *
Email *
Phone Number
Please use this format ###-###-####
Township/Borough of Residence *
Emergency Contact Name *
Our program involves using local trails and recreation facilities.  In the event of an emergency, an emergency contact name and  number is required.
Emergency Contact Number *
Please use this format ###-###-####
Topics of Interest - Please check all that apply. *
In addition to monthly hikes, occasional presentations by area professionals will be arranged.
Bắt buộc
Please indicate the approximate ages of your child/children. Choose all that apply. *
Bắt buộc
Please add an electronic signature below to indicate agreement with our insurance waiver. *
I understand that participation in the Positive Parenting Network which is sponsored by West Chester Area Communities That Care is voluntary. I hereby release, hold-harmless and waive all claims associated with this activity which I may have against West Chester Area Communities That Care, its employees, officers, directors, agents, volunteers and members. I consent to the provision of emergency medical treatment as deemed necessary by program staff and volunteers. And, I accept financial responsibility for such treatment.
Please add an electronic signature below to indicate agreement with our media release.
I understand that I may be photographed or video recorded while participating in Youth 2 Youth, and that photographs may be published and video recordings may be broadcast.
Today's Date *
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