Natural Spiritual Warrior Registration



Participant Information





Birthday:






Program Information

Natural Spiritual Warrior Program:
How did you hear about us?:
Program Start Date:
Payment Information:


Emergency Contact Information

Emergency Contact Name:
Emergency Contact Relationship:
Emergency Contact Address:
Emergency Contact Phone Number:
Emergency Contact Email:


Medical Information

Allergies:
Injuries/Illness:
Medication:
Special Needs:
Other Medical Information:
Additional Information:


Release of Liability

As a Through The Trees (TTT) participant, I have informed the TTT Staff of any medical needs I may have and give the Staff permission to administer basic first aid and prescription medicines as needed and directed. While I am participating in this TTT activity, I take full responsibility for any physical injuries or conditions that I may have at this time or have had in the past and I relinquish the rights to sue. Through The Trees, its Staff, and associated people will not be held liable for any injuries, illnesses, or damages that may occur during the course of these programs or events or during transportation to and from events and/or locations. I give TTT Staff permission to take pictures, video, and other forms of likeness for use in media, marketing, and other forms of dissemination.
I agree to the waiver:

Bright Light Project Registration



Child Information



Child's Birthday:


Child's School & Grade:


Program Information

Bright Light Project Program:
Program Start Date:
My child will attend kids classes:
Payment Information:
How did you hear about us?:


Parent/Guardian Information

Parent/Guardian Name:
Parent/Guardian Relationship:
Parent/Guardian Address:
Parent/Guardian Phone:
Parent/Guardian Email:


Emergency Contact Information

Emergency Contact Name:
Emergency Contact Relationship:
Emergency Contact Address:
Emergency Contact Phone Number:
Emergency Contact Email:


Medical Information

Allergies:
Injuries/Illness:
Medication:
Special Needs:
Other Medical Information:
Additional Information:


Release of Liability

As a Through The Trees (TTT) participant, I have informed the TTT Staff of any medical needs I may have and give the Staff permission to administer basic first aid and prescription medicines as needed and directed. While I am participating in this TTT activity, I take full responsibility for any physical injuries or conditions that I may have at this time or have had in the past and I relinquish the rights to sue. Through The Trees, its Staff, and associated people will not be held liable for any injuries, illnesses, or damages that may occur during the course of these programs or events or during transportation to and from events and/or locations. I give TTT Staff permission to take pictures, video, and other forms of likeness for use in media, marketing, and other forms of dissemination.
I agree to the waiver: