Clone of CACHE 2013 Registration

C.A.C.H.E. Registration

Fall Session - September 3rd to October 8th, 2013

Please complete this form in its entirety for each child in your family for this CACHE Session.
Information About You -
Parent/Guardian Name *
Street Address *
City *
State *
Zip *
Phone Number *
Email addresses that should receive updates, announcements and other CACHE business. *
Emergency Contact Information -
In the event of an emergency who should we reach that can contact you and/or assist you?
Emergency Contact - Name *
Emergency Contact - Phone *
Emergency Contact - Relationship *
Child Information -
Child's Full Legal Name *
Name Child prefers to be called *
Child's Birthdate *
Age at the beginning of this session *
Class Grade (If Applicable) *
Anything you’d like co-op teachers and leaders to be aware of (allergies, medical, behavioral, limitations, etc.) *
Acknowledgements -
Cache Handbook

I have read the CACHE handbook, and I have discussed the contents of the handbook with my children. We agree to follow the procedures and rules listed in the handbook and to respect additional rules and procedures announced during co-op sessions, received by email, published on the CACHE blog, or distributed by other means.
Handbook Acknowledgment (Initials) *
Photo Release

Photos for internal use: CACHE is free to photograph, use, publish and distribute co-op photos freely among CACHE families including classroom use, historical documentation, blog, social media, and maybe a yearbook.

Photos for external use: CACHE may choose to release photos from time to time for external uses (brochure, newspaper article, promotional, etc.). These CACHE photos will only be released and published on a case by case basis with permission for each photograph from the families included in the photo.

CACHE participants may take and use personal pictures for personal uses, including albums and scrapbooks and personal social media. Pictures must only be taken in the classroom (during class time) and in the gym.

Social media use: Please respect others’ privacy by posting pictures primarily of your own family. Please do not tag individuals in photos without their permission and knowledge.
Photo Release Acknowledgement (Initials) *
Signature (Your typed name in this box will serve as a signature) *
Date *
Should be Empty:

Information About You -

Emergency Contact Information -

Child Information -

Acknowledgements -