REGISTRATIONFORM

*required information

STATUS INFORMATION*

APPLICANTS INFORMATION*

WHAT ARE YOU REGISTERING FOR?*

SUPPORT PROGRAM
CAMPS & ACTIVITIES
FACILITY
Do you need transportation?

If you are applying on behalf of a minor, please complete the following:

PARENT OR LEGAL GUARDIAN INFORMATION

CHILD'S INFORMATION

AUTHORIZED PERSONS FOR PICK UP

NOT AUTHORIZED PERSONS FOR PICK UP

Is there a custody agreement in place?

If yes, upload here

Upload File

APPLICANT OR CHILD'S EMERGENCY HEALTH INFORMATION

APPLICANT OR CHILD'S EMERGENCY CONTACT INFORMATION
Alternate person to call and pick up in case of an emergency

CHILD'S IMMUNIZATION INFORMATION

Is your child up to date on their immunizations?

Type of Immunization

CHILD'S MEDICATION

CHILD'S ALLERGIES

Thanks for Registering at UGTS! We will be in touch