Flutter Registration
Please fill out this registration form for Flutter for the 2023-2024 year.  In addition to this form, we are asking each youth to pay a $20 fee to be used toward Flutter events.  This fee can be given to Lindsey Waltermyer. (Some of you paid this fee last spring.  There is a list of who has already paid.)
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Youth Name (last, first) *
Youth Address *
Youth Birthdate *
MM
/
DD
/
YYYY
Youth Age *
Youth Grade  *
Parent Name(s) and Phone Number(s) *
Parent Email Address(es) to Receive Flutter Communication *
Emergency Contact (other than parent) - include name, relationship to youth, and phone number *
Does your child have food allergies? *
If you answered yes for food allergies, list concerns below.  (If you answered no, write N/A) *
Does your child have other allergies or medical conditions we should be aware of? *
If you answered yes for allergies/medical conditions, list concerns below.  (If you answered no, write N/A) *
T-shirt size (adult sizes only) *
Which days/times are best for your child for Flutter events?  Choose all that apply. *
Required
I give permission for my child to be transported to Flutter events in another parent and/or advisor's car.  (I understand that by selecting NO, I may need to provide transportation myself.) *
For youth aged 13 and above: We use the Remind app to communicate directly to the youth.  Do you give permission for your youth to join this app? *
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