We're excited for you to join High Flyers!
Begin Registration
 
Child's First Name *

 
Child's Last Name *

 
Child's Birth Date *

 
Child's Gender *


 
Does your child need school pick up? If yes, please name school. *

 
Grade Entering in Fall 2017 *

 
Does your child have any special needs we should be aware of? If yes, please explain. *

 
Child's Likes and Dislikes

 
Medication or other health aid that child presently uses

 
Does your child have any medical conditions? If yes, please explain. *

 
Does your child have any allergies? If yes, please list. *

 
Anything else you would like us to know about your child?

 
Weekly Attendance *


 
Which days will your child be attending High Flyers? *


 
High Flyers occasionally takes photos for promotional purposes. I hereby give my permission for High Flyers to use photographs or videos taken of my child for the purpose stated above. *

     
 
I give permission for my child to be transported in High Flyer's vehicles from school each day, and in case of an emergency: *

     
 
Parent/Guardian First Name *

 
Parent/Guardian Last Name *

 
Street Address *

 
City *

 
State *

 
Zip Code *

 
Cell Phone Number *

 
Home Phone Number

 
Parent/Guardian 2 (First and Last Name)

 
Parent/Guardian 2 Phone Number

 
Emergency Contact (First and Last Name) *

 
Emergency Contact Phone Number *

 
Other contacts allowed to pick up child besides parent/guardian listed before. (Name/Phone Number/Relationship)

 
What will be your method of monthly payment? *


 
Credit Card Number

(If you did not choose credit card as your method, skip the following three steps.)
 
Name on Card

 
Date of Expiration

 
CVV Number (3 digits on back of card)

 
How would you like to pay your $25 registration fee? *

If you're a returning family or registering an additional child from the same family select "Waived."

 
Comments:

 
We look forward to your child soaring with us! You will receive a response from our Director in 1-2 business days. Press "Continue," then click "Register" to complete your High Flyers Registration.

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