Summer Program Registration

NAME and RELATIONSHIP to child
Available During the Day
Attire and Belongings: All children should be prepared with long pants, a boot with a heel, a lunch, and water bottle. Children are welcome to bring sneakers. A bathing suit and towel is suggested for hot days when we play water games. Please label all belongings.
EMERGENCY MEDICAL CONSENT: In the event that I/we are unavailable for the purpose of providing parental consent, I/we hereby authorize a qualified emergency medical technician, physician, or hospital emergency room, as selected by the staff of Red Skye Farm, to provide such hospital care including routine diagnostic procedures and medical treatment to my child. I understand that the consent and authorization herein granted does not include major surgical procedures.
Please type full name