Parent's Name *
Parent's Name
Phone *
Phone
Alt Phone
Alt Phone
Address *
Address
Child's Name *
Child's Name
Child's Name 2
Child's Name 2
Child's Name 3
Child's Name 3
Permission to Participate *
Parents are responsible for registering and updating all emergency contacts prior to attending field trips. I hereby grant permission for my child(ren) to walk or take a school bus on designated field trip and participate in Play Date activities for the date(s) selected and release Children’s Care& Development Center, Inc. from any and all liability. Every precaution will be taken for the safety and careful supervision of each child. The center, however, does not assume responsibility in case of an unavoidable mishap or accident. I understand there are no refunds for reservations made for Play Dates in the event my child is absent for any reason.