LaunchTrack

P.S. 58 Spring Fun Day 2025 - $65.00

School:

Does your Child Have a Para in school?:

Grade:

Ethnicity:

First name:

Last name:

Parent/Guardian Name:

Email:

Phone Number:

Address:

Address2:

City:

Province / State:

Postal / Zip Code:

Emergency Contact Name:

Emergency Contact Cell Number:

Anyone picking up a child MUST have a valid form of ID. List ALL Name(s) permitted to pick up your child. Anyone not on this list will not be eligible to pick up your child on this day.:

I consent to the use and disclosure of the image, quotes, names, and the taking of photographs, recordings, and videos of the Student named above by Because We Can Sports. This includes use in print, online spaces, and all other forms of media. I also release Because We Can Sports, its agents, and employees from all claims, demands, and liabilities in connection with the rights granted above:

Yes, I consent to have photos & videos taken of my child.

No, I do not consent to have photos & videos taken of my child.

Medical Conditions/Message: