Email: info@moveforinclusion.com

Lancers Registration Form

1. PARTICIPANT INFORMATION


(dinosaurs, princesses, animals, trains, sports, etc.)

2. EMERGENCY CONTACT INFORMATION



Note: The email address given above will be used to inform you of important program information only and will not be used for marketing purposes nor will it be shared with a third party.


Are there any individuals who may be picking up your children from the program?


3. PARTICIPANT T-SHIRT

Participant T-shirt Size (please select)
Youth Sizes:

4. PARENTAL CONSENT

PLEASE READ the Parental Consent form located here before submitting your registration form.

I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THIS DOCUMENT.