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Milton Community Center
Up Coming Events
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Moose Lodge 171 Events
Milton Community Center Program Registration
Parents First Name
Parent Last Name
Email
Phone
Program (Please indicate which week you are registering for.)
List all Children Attending
Does your child have any allergy or medical concerns we should be aware of? (NOTE: Snacks provided by MCC include foods such as bags of chips, gummies, or pizza.)
Yes
No
Please list the names of the children with allergies if registering more than one
PHOTO RELEASE I hereby grant The Improved Milton Experience (TIME) my consent and permission to use my child's photographic image or likeness in print publications, online publications, presentations, websites, and social media for any legal use, including but not limited to publicity/promotional purposes. I further release TIME and the photographer from responsibility for any violation of personal or proprietary rights that my child may have in connection with this use, and I also understand that no royalty, fee, or other compensation shall become payable to my child by reason of such use.
Yes
No
Please fill out the Photo Waiver and Field Trip Slip in PDF below
Please bring your completed forms with your payment
I want to subscribe to the newsletter.
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