Do you have a secondary email that should receive SOAR communications? If no, please leave blank. 

Type in your student information.  After submission, you will have the option to fill in additional forms for siblings.

Your Comments/Notes About Workshops/Wait List Request:

Would you like to request confidential financial aid to help cover the cost of workshop fees? If yes, how much are you requesting? 

During which of your chosen workshops will your student be enrolled in Extras? A one time $15 SOAR credit will be applied ONLY to those workshops that your child attends on a day and time they are enrolled in Extras. 

Parent/Guardian Contact Phone Numbers (include the best number to reach in case of emergency, as well as a number that can receive text messages for last minute class changes, pickup reminders, etc...)

Who will pick up after SOAR classes? Include contact information if different from above. 

Please list any medical conditions, medications, allergies or any other concern that we should be aware of (including behavioral plans). All information will be kept confidential.

Emergency contact name and phone if parent/guardian cannot be reached. 

Does your child have permission to be in photos for: 

Please check to acknowledge you have read and reviewed the SOAR behavioral expectations with your child. 

Insurance Waiver:  By typing your name below, you agree to the following:
The undersigned, as the parent(s) having legal custody or as the legal guardian of the minor listed above in this application, do hereby give permission, consent and authorization for such minor to participate in SOAR Extra-Curricular Activities during the period of enrollment in SOAR programs.  

Subject to the exceptions set forth below, the Undersigned (1) assumes all risks associated with participation in our activities, (2) agrees to indemnify, defend and hold harmless SOAR/Salisbury Central School Educational Enrichment Endowment Fund, it’s agents, employees, officers, directors, successors and assigns and fully and forever release and discharge such parties from anyand all claims of any nature to include but not limited to the following: demands, actions, causes of actions, suits, controversies, obligations and liabilities of any kind and nature whatsoever (collectively referred to as Claims) relating to personal injury, bodily injury and/or death or property damage sustained, incurred or caused by said minor afore described program or any other events and occurrences while said minor is engaged in the Program or any activity related thereto.  

The foregoing assumption of risk, aforementioned to indemnify and release shall further be inapplicable to and of no force and effect for any and all Claims asserted against any third party independent contractor performing services for compensation in connection with the Activities, except to the extent and amount that such third party independent contractor has a valid right, and claim for contribution, reimbursement or indemnity which is not covered by the above described insurance and is asserted against SOAR/Salisbury Central School Educational Enrichment Endowment Fund, its agents, employees, officers, directors, successors and assigns.