Registration and Contact Form

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Payment due upon request. Make checks payable to Cloud City Youth. Drop off at school's front desk. !!!There will be a confirmation page after you press submit!!!

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Child's Name: *

Parent's Name: *

Address: *

E-mail address: *

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School or Location: *

Start Date: *

Time of Class: *

Grade: *

Teacher: *

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*Cloud City Youth provides a safe learning environment for your children. We are required to ensure through your endorsement and hold harmless any member of the facility, school corporation or representative of Cloud City Youth from loss, injury, or damage to person or property provided such member or employee was acting in the discharge of his or her duties. By sending this registration form you agree.