Armada Community Enrichment Program Fall 2022 Registration Form

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Early registration is advised. Programs fill up fast & have limited enrollment. Registrations are taken in the order they are received. A registration received after the deadline does not guarantee placement in the program. Need not be an Armada resident to participate. Photo release: ACEP takes pictures at various events. By registering for or participating in any ACEP sponsored event you agree to allow ACEP to publish those photos. Make checks payable to ACEP. PLease mail

Participant's Last Name *

Participant's First Name *

Parent's Last Name *

Parent's First Name *

Parent's Email Address *

Address (street number & name) *

City *

Zip *

Participant's Birth date (Month/Day/Year) *

Participant's Grade

Participant's Teacher

Any Allergies? *

None

Other:

Parent's Cell Phone *

Parent's Cell Phone (2nd one)

Home Phone

Class Enrolling for: *

Mother Son Dance - November 12th - Cost $28 a couple - $10 for each additional child.

Zumba Starting 11/2/2022 6:30pm - 7:15 pm $8 drop in fee or $40 for 6 weeks. November 2, 9, 16, 30 and December 7 and 14

Tinkering Tiger Toddlers - $140

Youth Cornhole League Tuesdays, November 8 - December 13

$65 - Armada Wrestling Club K-2 starting in mid November for Grades 3-5 and December for Grades K-2

Other:

Required

Shirt Size - Not needed for mother son dance

YXL

AXL

Clear selection

Any other information ACEP should know

I hereby waive and release the Armada Community Enrichment Program and Armada Area Schools, its agents, employees and volunteers, from any and all liability for claim or cause of action that might arise or result from my (or my child's) participation in program activities. ACEP takes pictures at various events. By registering for or participating in any ACEP sponsored event you agree to allow ACEP to publish those photos. I also will not send my child to any ACEP events if they are exhibiting any Covid-19 symptoms. *

Yes

Required

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