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ACU, Inc. Event Signup
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Email
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Your email
Parent/Guardian
Name
(first, last)
*
Your answer
List name, DOB and school of participant(s).
*
Your answer
Phone
(include area code)
*
Your answer
Best method of contact?
*
Text
Call
Email
Select program of interest.
*
Let's Grow (ages 13-18)
Parent Support Group (PSG) (no age requirements)
100 Steppas (ages 10-13)
K.I.C (ages 13-18)
Other:
Please list up to 3 emergency contacts. (include name, number, and relation to participant)
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Your answer
In the event of an emergency, Would you consent to ACU, Inc. Representatives, Associates and/or Affiliates seeking medical treatment?
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Yes
No
A copy of your responses will be emailed to the address you provided.
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