Through The Trees

Bright Light Bash Registration


Kids Only
Bright Light Bash registration

 



Child Information

Child's Name:
Child's Birthday:
Child's School:
Grade Number:


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.
Sibling Name & Birthday:
Sibling Name & Birthday:
Sibling Name & Birthday:

All Sibling Program & Contact Information is the same:


Program Information




Parent/Guardian Information



Parent/Guardian Relationship:








This is also my child's contact information:


Emergency Contact Information

Emergency Contact Name:

Emergency Contact Relationship:

Emergency Contact Phone Number:


Medical Information

Allergies, Injuries, Medications, Dietary Restricitons, etc.:

Additional Information:


Release of Liability

I agree to sign the waiver before my first class:


How did you hear about Through The Trees?



Payment and Waivers are available in the next screen.