BLHS Community Education Summer Registration
This is the registration form for the SUMMER 2022 YOUTH Community Education Opportunities. Please fill out one per participant. Payment MUST BE sent to BLHS Community Ed PO Box 307 Hector, MN 55342.
In Google anmelden, um den Fortschritt zu speichern. Weitere Informationen
E-Mail-Adresse *
Email Address *
Name of Participant *
Grade Participant Completed in 2022 *
Name of Parent/Guardian *
Parent/Guardian Phone Number *
Emergency Contact Person (this should be a different contact than the parent/guardian above) *
Emergency Contact Phone Number *
Classes you wish to register for *
Pflichtfrage
Please indicate bus location and events if needed.
Please indicate if you child will need special assistance for any program.
I, the undersigned parent or guardian, do hereby agree to allow the individual(s) named herein to participate in the aforementioned activity(ies) and I further agree to indemnify, and hold the ISD #2159 harmless from and against any and all liability for any injury which may be suffered by the aforementioned individual(s) arising out of, or in any way connected with, his/her participation in this activity.                                                                                                    I give permission for BLHS Community Education to provide transportation to my child for emergency or educational reasons.  In the event of an emergency, I authorize the administration of basic first aid.  I also authorize appropriate treatment by emergency medical personnel.  Please initial. *
Sie erhalten unter der von Ihnen angegebenen E-Mail-Adresse eine Kopie Ihrer Antworten.
Senden
Alle Eingaben löschen
Geben Sie niemals Passwörter über Google Formulare weiter.
reCAPTCHA
DatenschutzNutzungsbedingungen
Dieses Formular wurde bei BLH Public Schools ISD #2159 erstellt. Missbrauch melden
Google Formulare