Lake Central Registration

$27.50 – $55.00

Primary Parent/Guardian Information

Note: TAC will not disseminate any information included on this registration form such as child data, financial arrangements, student attendance, or year-end tax statements to anyone other than the primary parent who filled out this registration form.

Primary Parent First Name *

First

Last Name *

Last

Relation to Child

Email

Primary Phone

Secondary Phone

Home Address

City

State

Zip

Employer Name

Employer Address

Work Phone

Work Email

Is Parent/Guardian Employed by School?

Yes

No

If Yes, What Position?

School Name

This fee will cover the registration for one child for access to The Adventure Club. Use the dropdown to select the registration type. You must complete the registration form above, and pay the registration fee to be enrolled. Fee will increase after July 17th

Please Note: You can only register one child per school and program at a time. Once your child is registered you can re-register through our system and the information will be copied over to the next year. Please contact us with any questions.

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