Spring 2022 Registration Form

Student's Name*

Grade #*

Child's Date of Birth*

Class #

Parent's Name*

Parent's Name

Phone (Day)*

Phone (Evening)

Email*

Cell Phone*

Allergies or Special Medical Conditions

Additional Emergency Contacts

Pediatrician's Name*

Pediatrician's Phone*

Please list the class desired, the day and time, and the amount*

*Additional forms may be required after the selected classes are confirmed. *We will be in touch with you via email to confirm place in class.

Additional Information

Your Name*

First Last

Relation to Child*

Date*

The following people are authorized to pick up my child:

Name

It is responsibility of the Parent/Guardian to notify Aurora Skills, in writing, if someone is not legally permitted to pick up your child(ren) from our programs. Prior notification must be given to Aurora Skills if someone other than the approved person/s listed above will be picking the child(ren) up after the program.

Program Options

Please select a 1st and 2nd choice of classes for each day.

Please select your class day below to bring up additional class options.*

Monday Programs - Option 1

Monday Programs - Option 2

Tuesday Programs - Option 1

Tuesday Programs - Option 2

Wednesday Programs - Option 1

Wednesday Programs - Option 2

Thursday Programs - Option 1

Thursday Programs - Option 2

Friday Programs - Option 1

Friday Programs - Option 2

Spring 2022 Registration Form

Spring 2023 Class Registration Form

Additional Information

Program Options