SICSA · Hands and Paws - Ages 11-17, Feb 27, 2020, 6-7:30 pm

Register for Feb 27, 6:00-7:30 pm

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$10 - one registration

Child Information

Child Name

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First Name

Last Name

Date of Birth

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Children must be at least 6 years old to participate.

Emergency Contact Information

Guardian Name

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First Name

Last Name

Relationship to Child

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Guardian Phone #

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Email

Verify Email

Secondary Emergency Contact

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First Name

Last Name

Secondary Emergency Phone #

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Address

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City

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Zip Code

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Does your child have any special accommodations?

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Every effort is made to accommodate children with special needs, including children with behavioral challenges. Parents/guardians of children who need special attention or have behavioral challenges must notify us of the issue in the “special accommodations” section of the online registration form. Education staff are trained to manage many common health and behavioral disorders; however, children with severe behavioral disorders that may continuously interfere with or disrupt the programs must have an aide present.

How did you hear about this event?

SICSA website

Flyer or print ad

Internet search

Word of mouth

Other

I have read and agree to SICSA's Terms and Conditions, found at https://www.sicsa.org/terms/

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Please carefully read SICSA's Terms found at https://www.sicsa.org/terms/ before agreeing.

I have read and agree to SICSA's Terms.