Registration | bluenwhiteclub

Register to the club
Please fill out a form per child

Parent First name

Last name

Phone

Child full name

Class room #

Child's Birthday

Session 1: (October- December) Total 10 activities - $100
October 2
October 9
October 23
October 30
November 6
November 13
November 20
December 4
December 11
December 18

I, the parent or legal guardian of the child written below grant "Blue and White Club" my permission to use the photographs/video described for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content, during the time period of 2023-2027 Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

VOLUNTEER STATEMENT: I hereby acknowledge and agree that, as a parent/guardian of the student/s participating in the club, I am required to volunteer for at least 2-3 club days during the school year. I confirm my commitment to fulfill this volunteer obligation weather myself or by appointing another authorized adult

Register to the club Please fill out a form per child

Register to the club
Please fill out a form per child