Child's First and Last Name*
Will you be needing transportation?*
Parent/Guardian Email Address
Parent/Guardian Cell Phone Number*
Parent/Guardian Work Phone Number
OTHER THAN YOU, who is able to pick up your child(ren).*
Child's Medical Information
My Child has permission to fully participate in BBNS Academy's Activities during the 2023 - 2024 School Year.*
I authorize BBNS Academy to use a photograph or other image of my child for public relations purposes connected to the summer camp program and future programs associate with BBNS Academy*
I hereby give permission to BBNS Academy for my child(ren) to participate in excursions involving transportation and consent to give BBNS Academy permission to transport my child for program purposes.*
I agree to a financial contract that will be established between myself and BBNS Academy and hereby set the enrollment date as the one discussed with staff. I agree to physically sign a financial agreement as well.*
I hereby agree to sign an electronics waiver upon registration.*
We will follow up with you, what date are you available?
We will follow up with you, what time are you available? Thank you!