ConstructionKids | Class Registration

Spring and Summer 2013

Registration is a 2-part process:

Fill out this form (all 24 questions), agree to the disclaimer, answer the security question, then click on REGISTER.
Pay for your class online or mail a check

Enrollment is not guaranteed until you pay in full for your class.

PLEASE MAKE SURE YOU CHOOSE THE CORRECT CLASS/CAMP AND LOCATION IN THE DROP-DOWN MENU. PROGRAMS ARE AT BLDG92 BROOKLYN NAVY YARD WORKSHOP, UNLESS NOTED.

1) Class *
Please make sure you chose the correct class from the dropdown list.

2) Child's First Name *
3) Child's Last Name *
4) Child's Grade *
5) Child's Gender *
6) Child's Date of Birth *
7) School *
8) Your First Name *
9) Your Last Name *
10) Relationship to Child *
11) Phone *
12) Home Address-Street *
Please include apartment info (floor, number, etc.)
13) City *
14) State *
15) Zip *
16) Your email *
17) Secondary Contact *
Person to reach in case of emergency
18) Secondary Phone *
Best contact phone number (cell, if possible)
19) Secondary email *
20) Allergies *
List any allergies your child has
21) Health Insurance Company *
The name of the plan which covers your child
22) Health Insurance Policy Number *
Your healtcare plan's policy number
23) Has your child attended a ConstructionKids program before? After-school program Vacation camp Birthday party School field trip Open house Homeschool program No, first time to enroll in a CK program.
Check all that apply.
24) Comments
25) Disclaimer (YOU MUST AGREE TO REGISTER.) * I decline. I AGREE.
DISCLAIMER: Participation in ConstructionKids will involve children using tools and equipment in a busy workshop setting. It is understood and expressly agreed to by the Parent/Guardian that by registering, making payment and/or participating in a ConstructionKids program, the Parent/Guardian releases, indemnifies, and holds harmless ConstructionKids and its' owner, staff and employees from any liability of any kind for damages and/or injuries incurred in connection with the students and parents in attendance at ConstructionKids. The Parent/Guardian understands and accepts the risks inherent in their child learning building skills in a workshop setting with other children.
26) SECURITY TEST: 5 + 9 = ? *
This test is done to stop spammers from creating fake registrations.