Afterschool Registration

Registration Form

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CHILD INFORMATION
CHILD’S IDENTIFYING INFORMATION
PARENT/GUARDIAN INFORMATION
CHILD'S PHYSICIAN & MEDICAL INFORMATION
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I certify that documentation of physical examination and immunizations in accordance with public school health requirements, and lead poisoning screening in accordance with public health requirements are on file at my child’s school.
By signing below, I have read and understand the contents of this page.
D.I.G. EDUCATIONAL PROGRAM PICKUP CONSENT FORM
PICK UP LIST (in order to be contacted in the case of an emergency) We must have written authorization from you to allow another person to pick up your child. We cannot accept phone calls for pick-up authorization. It is our policy to request photo identification from anyone unfamiliar to us. Please inform those on your pick-up list that we must have proper photo identification in order to release your child.I give permission for the following people to pick up my child from D.I.G. in an emergency or when I notify D.I.G..
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D.I.G. EDUCATIONAL PROGRAM TRANSPORTATION, OFF SITE, FIELD TRIP, STEM ACTIVITY & PLAYGROUND CONSENT FORM
Please check the appropriate line for how your child will arrive/depart from the program. Please note that all children grades 1-8 will arrive to the program via “Unsupervised walk from his/her classroom”
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D.I.G. EDUCATIONAL PROGRAM TESTING & REFERENCE FORM
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RELEASE OF LIABILITY, WAIVER OF CLAIMS, EXPRESS ASSUMPTION OF RISKS, AND HOLD HARMLESS AGREEMENT