Do you give Play Adventures permission to share my first name, email, and cell in the school’s family directory (recommended for playdates & forming community)? *
Is there anything you would like to share about your child (interests, special needs, allergies) *
Your answer
PARENT or GUARDIAN INFORMATION
Full Name
*
Your answer
Email *
Your answer
Phone Number *
Your answer
Address (
street, city, state, zip ) *
Your answer
Does participant reside at this address? (If not, Please provide address of participant). *
Your answer
SECOND PARENT OR GAURDIAN INFORMATION
Full Name
*
Your answer
Email *
Your answer
Phone Number *
Your answer
Address (street, city, state, zip) *
Your answer
Emergency Contact 1 (add name, relation and phone number) *
Your answer
Emergency Contact 2 (add name, relation and phone number) *
Your answer
Check the Participant Program Options *
Required
Person/s authorized to pick up/drop off your child (name and phone number) *
Your answer
I will read the Parent Handbook *
Required
If you are interested in enrolling your child, you must submit the Complete Enrollment Application and the Enrollment Deposit $100 to secure a spot in our program or hold a space on our waitlist. If your child is placed on the waitlist, your deposit will be held until a space becomes available. If you withdraw your child from the waitlist before a space becomes available, then your tuition deposit may be refunded, however, you must notify Play Adventures in writing.