Summer Program Registration

 

 

NAME and RELATIONSHIP
Available During the Day
Attire and Belongings: All children should be prepared with long pants, a boot with a heel, a lunch, and water bottle. Children are welcome to bring sneakers. A bathing suit and towel is suggested for hot days when we play water games. Please label all belongings.
In the event that I/we are unavailable for the purpose of providing parental consent, I/we hereby authorize a qualified emergency medical technician, physician, or hospital emergency room, as selected by the staff of Red Skye Foundation, to provide such hospital care including routine diagnostic procedures and medical treatment to my child. I understand that the consent and authorization herein granted does not include major surgical procedures.
Please Print Your Name
Please fill in your card number we will put the charge through.
Card Number no dashes
Number only-no backslash