Tinker Time (Ages 5-7) September 3rd

Prior to completing your child's registration, you should review both the policies outlined in the Youth Programs: Information for Families and the Gizmo Student Code of Conduct.

Child's Registration Info

Child's First Name *

Child's Last Name *

Child's Age *

Parent/Guardian First Name: *

Parent/Guardian Last Name: *

Parent/Guardian Email *

Parent/Guardian Phone *

Please list any allergies, medical conditions, or limitations on activities *

Does your child have any unique needs or behaviors our staff should be aware of? *

Individuals authorized to pick up child from Gizmo: *

What type of schooling does the student currently use?

Schooling Type *

Public School

Private School

Homeschool

Alternative/Online

How did you hear about this class? *

I have reviewed and agree to the policies outlined in the Information for Families document (see above) *

Yes

I have read the Student Code of Conduct (see above) and agree to review it with my child *

Yes

Event Fee(s)

The event fees are as follows:

Class Fee *

How much would you like to donate to support Gizmo's programs?

Enter value below. Units of $1.00

$ 1.00

This donation contributes to our operation costs and scholarship funding.

Total

Gizmo-CdA collects participant demographic data to report to our program funders. Providing this data is voluntary -- if you do not wish to answer a question, please select "Prefer Not to Say."

Participant Demographics

Gender *

Girl/Woman

Boy/Man

Nonbinary

Other Not Listed

Prefer Not to Say

Race/Ethnicity *

Select all that apply.

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Tinker Time (Ages 5-7) September 3rd