Done Adding New Students? Click to Close [X]
Parents:
Child:
Child DOB:
Gender:
M
F
School Grade:
School:
Street:
City, State, Zip:
Phone:
Dad's Phone:
Employer:
Occupation:
Mom's Phone:
Employer:
Occupation:
Emergency Name:
Phone #:
Family Doctor:
Phone #:
Class:
Register Date:
Register #:
Paid For?
Notes:
Email:
T-Shirt Size:
Children's Medium (10-12)
Children's Large (14-16)
Adult Medium
Current Safety Village Registration *
* When 1 class is listed and payment is shown as recieved, your child is completely registered for that class. You will also receive a confirmation email when this happens.
Class History
Class ID
Class Ages
Session
Start Date
End Date
Max Students
Active
Notes
0001
Age 5-7
Mornings
06/20/2011
06/30/2011
50
Y
2011 - AM class for 5-7 year olds
0002
Age 5-7
Afternoon
06/20/2011
06/30/2011
50
Y
2011 - PM class for 5-7 year olds
0004
Age 5-7
Afternoons
03/12/2011
04/08/2011
10
N
not active
0003
Age 8-10
Morning
01/12/2011
01/12/2011
4
N
not active
Safety Village Board Login