General Release Form
Student Information / Waiver and Release: to better serve you in our programs, please fill out the information and waiver and release below.

Here at Club DREAMS, your child’s safety and well-being is our top priority. Our programs are meant to be fun, supportive, and of course, secure! To uphold these values, we have created terms and conditions to apply to our on-site events and activities. After filling out the information below, please take the time to read our health and safety protocol, drop-off policy, and restroom use agreement. 
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Participants Name (First and Last Name) *
Street Address *
Town & State *
Zip Code *
 Participants Birthdate *
MM
/
DD
/
YYYY
Guardian Name & Relationship *
Phone Number *
Email *
Emergency Contact Number *
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