Student Program
Student Program Registration - Once your student is registered, they will remain in the program for the entire school year unless you ask for them to be removed.  You DO NOT need to sign them up each week. 
NOTE: A new form is required for each student.
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Parent/Guardian -  Name (First/Last) *
Parent/Guardian  - Email Address *
Student - (First/Last) *
School Name (if your school is not listed, please email us at info@backpacksociety.org) *
Student Grade *
Student's Teacher *
ACCEPTANCE OF ALLERGY WAIVER

By clicking “Accept,” you acknowledge and agree that you have read, understood, consented and accepted the terms of this Allergy Waiver below on behalf of yourself and any minor children in your care and adults in your household.

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