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Parent/Emergency Contact:

Select Date
I consent to photos being taken during training for marketing & social media posting.
Yes
No

If participant is being picked up by someone who is not his or her emergency contact, please list them below (Leave blank if doesn't apply):

Stay Safe/Stay Home Alone Course Registration Form

Upon submission, you will receive an Invoice to secure your seat(s) on selected date. Payment is due upon receiving the invoice and if not paid, you will not be eligible to attend the course. Please be patient after submitting your registration to receive an invoice as updating our system takes time. Thank you.

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