CLASH Registration - Fall 2026 (Grades 1-6)

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Parent/Guardian Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Name of Secondary Emergency Contact

*

Phone Number of Secondary Emergency Contact

*

Relationship to Child(ren)

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Name(s) of others authorized to pick up child(ren)

*

Do you want your child(ren) released to walk home by themselves after the event?

*

Please select one option.

Yes No

Can we take pictures of your child(ren) and use those pictures as marketing for BFCC?

*

Please select one option.

Yes No

Child #1 Name

*

Child #1 Birthdate

*

Child #1 Last Grade Completed

*

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child #1 Allergies/Medical Information

Child #2 Name

Child #2 Birthdate

Child #2 Last Grade Completed

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child #2 Allergies/Medical Information

Child #3 Name

Child #3 Birthdate

Child #3 Last Grade Completed

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child #3 Allergies/Medical Information

Child #4 Name

Child #4 Birthdate

Child #4 Last Grade Completed

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child #4 Allergies/ Medical Information

Description

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