Rec Zone Before & Aftercare Program Enrollment Application

RecZone Indy at IAA
1002 W 25th Street
Indianapolis, IN 46208
Email: info@reczoneindy.com
Facebook: RecZone Indy

(Submit one per child)
I hereby submit an application for admission of my child to RecZone Indy Before & After Program for 2020-2021 School Year. Please complete the form below for each individual child submission.

Enrollment Application:

General Info: Please type your answer inside the form boxes.

Sizing:

Child's Shirt Size:

Please list all persons approved to pick up child or children and their relationship to the child or children. (Our staff will request proof of identification for anyone picking up besides parent/guardian. Person MUST be on the approved pick-up list).

Please list all allergies, medications and instructions: (Please indicate None or N/A if no allergies/medications present)

Does your child qualify for the Free/Reduced Lunch Program?

Select your Enrollment & Rate Plan:

*RecZone Indy reserves the right to use photographs and video taken during programming without compensation.

Waiver and Release:

I hereby release, waive, and agree to hold harmless the staff, owners, and students associated with RecZone Indy, Dragon International Institute, Ignite Achievement Academy & all camp helpers, officers, members, and volunteers from any and all claims or liability for personal injury or property damage my child or I may suffer as directly or indirectly from participating in these camps. My Input below constitutes my legal signature and sign-off.

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