Program Registration

PF Student Program Registration

Select Program

Parent/Guardian Information

First Name

Last Name

Relationship to Child

Phone/Mobile

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Child Information

First Name

Last Name

Age

Grade

School

Medical Information

List any and all medical conditions, medications, or allergies that we should be aware of when you child is in our care.

Emergency Contact Information

First Name

Last Name

Phone/Mobile

Relationship to Child

Parent Confirmation

I, , certify that all information provided above is accurate to the best of my knowledge. I understand that participation in Project Friendship's program/event carries certain risks and I release Project Friendship's, its staff, and volunteers from any liability related to accidents or injuries that may occur during participation.

Enter parent/guardian full name to sign.

Student Confirmation

I, , agree to abide by the rules and guidelines set forth by Project Friendship during my participation in the program/event.

Enter child full name to sign.

Program Registration

Parent/Guardian Information

Child Information

Medical Information

Emergency Contact Information

Parent Confirmation

Student Confirmation

Organization

Programs

Contact