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Register Online
Please complete a separate online registration form for each child
First Name
     
Last Name
     
Grade
   
Gender
 
Parent/Gardian
 First Name 
     
Last Name     
Home Number
    Please enter only one number
Work Number
    Please enter only one number
Email
     
Address
   
  
City
   
Postal Code
   
Allergies, Medical Info
   
Teacher / Classroom, additional comments
   

Emergency Contact
     
Relation to Child
     
Emergency Number
      Please enter only one number

Select a Program
Please first choose your school
School
Select the program(s) you would like to enroll in
1st Program
   
2nd Program
   
3rd Program
   
 

I hereby release Fundamentalz from all claims for damage arising from any accident and/or injury which may be caused by or arise from participation of the Registrant herein, during any program or in any facility or at any location where a program is held.  I understand that any photographs taken during programs will be used solely for advertising purposes. 

By Checking this box I agree to the terms above
 
 
 
     
Find out what people are saying...
Many individuals and organizations approached me as
a principal with ideas about working with students at
my school. Roland and Adrian clearly stood out
among the group. - Susan Langley, Principal
Up and Coming...
Check out our monthly Calendar of events and find out about the latest news including the Fundamentalz 2007 Summer Camp.