Summer Safari Team Member Registration

Please complete the following form to have your child’s Summer Safari registration deducted from your paycheck over the course of 4 pay periods. See your Center Director with questions.

Team Member Name*
First Last
Center Your Child(ren) Attends*
Child Name*
First Last
Child's Date of Birth*
T-Shirt Size*
Child 2 Name
First Last
Child 2 Date of Birth
Child 2 T-Shirt Size
Child 3 Name
First Last
Child 3 Date of Birth
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.