Registration Form

PRIMARY PARENT/ GUARDIAN CONTACT

SECONDARY PARENT/ GUARDIAN CONTACT

EMERGENCY CONTACT INFORMATION

STUDENT DROP OFF AND PICK UP

Please specify who will be dropping off and picking up the student from camp.

ALLERGIES AND FOOD RESTRICTIONS

Please specify if the student has any allergies, if yes please list all allergies.
Please specify if the student has food restrictions, if yes please list all restrictions above.

MEDICAL CONDITIONS

Please specify if the student has any medical conditions or disabilities that ICE should be aware of.

STUDENT MEDIA RELEASE

Does ICE have permission to utilize media (picture and videos) of your child(s)/ ward(s) and his/ her projects on the ICE website, social media (e.g. Facebook, Twitter, etc.) and advertising outlets (e.g. Ourkids, ToDo, etc.)

PERMISSION TO LEAVE I.C.E. CAMPUS

Does the student have your permission to leave campus during lunch and snack time to purchase something from within plaza (140 La Rose Ave.)?
Does the student have your permission to leave campus during the lunch hour for outdoor activities under the supervision of an ICE instructor? Students will play in the park for fun outdoor activities!
Does the student have your permission to leave campus course related activities under the supervision of an ICE instructor? These outings are only for flying drones at a specific location.