Child's Name:Birth Date: Age:

 

Parent(s) Name(s):

 

Address:City:

 

State:  IL     Zip:Email: 

 

Home Phone: Cell Phone:  

 

Emergency Phone:

 

Church: 

 

Name of Parent Attending with Child:

 

Allergies: 

 

 

 

 

Approval/Consent of Parent/Guardian

 

As parent/guardian, we understand that the Eager Beaver program is an active one which includes many opportunities for service, adventure, fun, and learning.  I will support the program by:

 

1. Encouraging my EB to take an active part in all club meetings and functions.

2. Attending events to which parents are invited in support of my EB.

3. Assisting club leaders by serving as a helper when needed.

4. Not holding any individual club staff member liable in the event of an accidental injury.

5. Giving my permission for the above-named EB to attend EB activities.

6. I give permission for my child's photograph to be used in connection with club promotional activities.

 

 

 

By filling out the above information you agree to all the terms laid out for becoming a member of the Hinsdale Eager Beavers Club.

 

Please give your registration fees to Kym Parker. 

 

REGISTRATION