Parent InfoName *Phone *Email Address *Emergency Contact *Emergency Contact Phone No. *Charter School or Private Homeschool *Student Info 1Student Name 1 *Allergies 1 *List any allergies that staff needs to be aware of. If none, write N/A.WEDNESDAY, TK/K (1) *selectYesNoFRIDAY, TK/K (1) *selectYesNoWEDNESDAY, Grade Pods (1) *selectGRADES 1-2GRADES 3-4GRADES 5-6GRADES 7-8noFRIDAY, Grade Pods (1) *selectGRADES 1-2GRADES 3-4GRADES 5-6GRADES 7-8noWEDNESDAY, Social Hour (1) *selectYesNoFRIDAY, Social Hour (1) *selectYesNoStudent Info 2Student Name 2Allergies 2List any allergies that staff needs to be aware of. If none, write N/A.WEDNESDAY, TK/K (2)selectYesNoFRIDAY, TK/K (2)selectYesNoWEDNESDAY, Grade Pods (2)selectGRADES 1-2GRADES 3-4GRADES 5-6GRADES 7-8noFRIDAY, Grade Pods (2)selectGRADES 1-2GRADES 3-4GRADES 5-6GRADES 7-8noWEDNESDAY, Social Hour (2)selectYesNoFRIDAY, Social Hour (2)selectYesNoStudent Info 3Student Name 3Allergies 3List any allergies that staff needs to be aware of. If none, write N/A.WEDNESDAY, TK/K (3)selectYesNoFRIDAY, TK/K (3)selectYesNoWEDNESDAY, Grade Pods (3)selectGRADES 1-2GRADES 3-4GRADES 5-6GRADES 7-8noFRIDAY, Grade Pods (3)selectGRADES 1-2GRADES 3-4GRADES 5-6GRADES 7-8noWEDNESDAY, Social Hour (3)selectYesNoFRIDAY, Social Hour (3)selectYesNoPhoto & WaiversPhoto Release *Yes or NoYesNoPHOTO RELEASE.....I allow Enriched Loomis to take pictures and use them for website and/or social media.Release of Liability *I have read the Waiver Release of Liability Form provided in the link above and agree to the terms as statedHealth Waiver *I have read the Health Waiver provided in the link above and agree to the terms as statedRegister