Through The Trees

Drop-In Registration

 
Drop-In Registration


Program Information

Attendnace Date*:
Include Transportation?:


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 Information:


Participant Information



Date of Birth*:






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:


How did you hear about Through The Trees?



Online debit/credit card payments and additional program information are available on the next screen!