Registration Form

Which Program are you registering for?

Child's name

Birth Date

Gender

Language Spoken

Home Address

Parent / Guardian Name

Relationship with child

Email

Phone Number

EMERGENCY CONTACT NAME

Relationship with child

Phone Number

Any alergies of medical conditions? *

If yes. please give details

Any dietary ristrictions? *

If yes, please give details

Does your child have motion sickness? *

How did you hear about iForest?

Please upload a profile picture of the child *

Choose a file

Please upload your child's insurance card if available

Choose a file

I, undersigned, agree with the following statement *

If emergency medical care is needed and I am unavailable, I authorize the supervising teacher to seek medical treatment for my child.

Date

Signature