Join Free to Play

Interested in joining the Free to Play program?

Fill out some info and we will be in touch shortly! We can't wait to hear from you!

*Note: Completion of this form does not guarantee acceptance into the Free to Play program. All participants are required to meet with someone from our team to finalize the registration process before their child can attend the program.*

Participating Child Information

Child's Name

First Name

Last Name

Child's Birthdate

MM

DD

YYYY

Child's Gender

Child's Grade

Free to Play is for Grade 3 to 6 students.

Child's School

Child's Residential Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Parent/Guardian Information

Primary Parent/Guardian Name

First Name

Last Name

Relationship to Child

Primary Phone Number

(###)

###

####

Secondary Phone Number

(###)

###

####

Email

Secondary Contact Information

This MUST be a different person than the primary Parent/Guardian. We will only contact if we can not reach the primary Parent/Guardian.

Secondary Contact Name

First Name

Last Name

Relationship to Child

Primary Phone Number

(###)

###

####

Secondary Phone Number

(###)

###

####

Email