Through The Trees

Trails with Transportation Registration

 
Trails with Transportation Registration

Program Information

Trail Program Choices*:

Transportation Information

Please note: There is limited space available in the Through The Trees van from HBS and Coffin. There is no additional monthly fee for transportation. If your child requires a car seat, please provide one to Through The Trees. Reserve your spot today!
Transportation*:
Transportation Notes:


Participant Information



Date of Birth*: (mm/dd/yyyy)






School & Grade*:


Medical Information

By providing thorough medical information about your child, Through The Trees staff and families work together to provide a safe and nurturing environment for all children.

Medical Information*:

Dietary Restrictions*:

Additional Information:


Parent/Guardian Information

Name*:
Relationship*:
Address*:
Email*:
Mobile*:
Work Phone:
Employer:


Name:
Relationship:
Address:
Email:
Mobile:
Work Phone:
Employer:


Emergency Contact Information

Name*:
Relationship*:
Address*:
Email*:
Phone Number*:
Work Number:


Name:
Relationship:
Address:
Email:
Phone Number:
Work Number:


Payment Information

Through The Trees can work with families and individuals to create a payment plan that works for you.
Please note there is a $5 service charge for paying cash or check.

Preferred Payment Method*:


Additional Sibling Information

Parents - for easy registration, complete only one registration form if all of your children's contact and program information is the same. Please complete a separate form if sibling contact/program information is different than listed below.
Name:
Date of Birth:
School & Grade:
Medical Info:
Same Contact Info:

Name:
Date of Birth:
School & Grade:
Medical Info:
Same Contact Info:


Waiver Statement

I give TTT Staff permission to take pictures, video, and other forms of likeness of me/my child for use in media, marketing, and other forms of dissemination. As a Through The Trees (TTT) participant, I have informed the TTT Staff of any medical needs I may have and give the Staff permission to administer basic first aid and prescription medicines as needed and directed. While I am participating in any TTT activity, I take full responsibility for any physical injuries or conditions that I may have at this time or have had in the past and I relinquish the rights to sue. Through The Trees, its Staff, and associated people will not be held liable for any injuries, illnesses, or damages that may occur during the course of these programs or events or during transportation to and from events and/or locations.
By checking the box, you agree to all the conditions in the above Waiver Statement*:

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Through The Trees?



Additional payment information is on the next page!