Parent/Guardian Full Name *

First Name

Last Name

Parent/Guardian Full Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Student's Name *

First Name

Last Name

I understand that tuition begins September 1st and will be due on the 1st of every month through May 1st, 2026. Invoices will be sent one week prior to the billing due date. *

Yes

I understand that this is the initial registration form, and that I will complete the remaining forms for this program either at the Open House or on my child's first day of this program. *

Yes

I understand that a parent or designated caregiver is required to remain on-site during Co-op hours and on all outings/fieldtrips. *

Yes

I understand that any adult participating in the program (including myself or designated caregivers) must consent to an ICHAT background check and Sex Offender Register search. *

Any adult who has not completed the required screenings will not be permitted to remain on site during program hours or engage in any activities with participants. This policy is strictly enforced to ensure the safety and wellbeing of all children and families involved.

Yes

If the ICHAT background check or Sex Offender Registry search reveals any findings of concern, Feed the Need Sensory Zone reserves the right to deny or restrict participation in the program. Each situation will be reviewed on a case-by-case basis, with the safety and best interests of the children and families as the top priority. Individuals listed on the Sex Offernder Registry will not be permitted to participate under any circumstances. *

I understand