Prorated Summer Safari Registration | U-GRO Learning Centres

Parent/Guardian Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
U-GRO Location*
Child Name*
First Last
Child's Date of Birth*
Child's Summer Months with U-GRO*
- June
- July
- August
Please select all months that your child will be with us, even if it is a partial month.
T-Shirt Size*
Child 2 Name
First Last
Child 2 Date of Birth
Child 2 Summer Months with U-GRO
- June
- July
- August
Please select all months that your child will be with us, even if it is a partial month.
Child 2 T-Shirt Size
Child 3 Name
First Last
Child 3 Date of Birth
Child 3 Summer Months with U-GRO
- June
- July
- August
Please select all months that your child will be with us, even if it is a partial month.
Child 3 T-Shirt Size
Release*
- I accept
My child(ren) is/are in excellent health and capable of participation in physical activity. I hereby give my approval for his/her participation in the 2018 Summer Safari at U-GRO. I understand that I will be responsible for any injuries to my child resulting from, or in connection with, camp activities. I hereby release, absolve, and hold harmless U-GRO Learning Centres, Inc., its directors, its officers, and the staff.
Field Trip Permission*
- I accept
I give permission for my child(ren) to be transported by school bus on any field trips taken by the campers. I will provide my child with a packed brown bag lunch and a drink for all trips.