College Tour REGISTRATION - Ohio Sister Circle. Inc

Date Field*

Date Field

Student. Full Name*

STUDENT DATE OF BIRTH

Valid Phone*

Valid Parents Full Name ( if applicable)*

Valid E-mail*

Current School District/Grade*

SHIRT SIZE*

PROGRAM (S) DESIRED TO PARTICIPATE IN (CHECK ALL THAT APPLY)*

Qualify for Free or Reduced Lunches/Meals?

Yes
No

Medical / Allergy ( will need to provide Dr’s permission and submit at Pre Tour Meeting)

Yes
No

Must be willing to submit Students most recent Report Card

Yes
No

Must be willing to submit HEALTH INSURANCE MEDICAL CARD on file in case of an emergency.

Yes
No

Waiver& Hold Harmless to OSC& Staff of any kind.Parents Grant permission for permission to attend SOAR Programming and Agree to OSC Permission Waivers for Field Trips,, Events and all listed entities on the waiver form.,

$75. Fee includes ( Administrative Fee, Meal, T-Shirt)*

File Upload Report Cards.

You've already responded.

You can submit this form only once.

Please Complete the Basic Form for Registration. Each participant will be required to complete waivers, photo release and health forms to participate. These forms will follow in an additional email with dates, times and requirements to participate.

Thank You in advance.