Panda Registration Form Registration Form Student Name DOB Checkboxes Boy Girl Age School Grade Parent Name Relationship to Student Mailing Address E-mail Address Work Phone Cell Phone Emergency Contact Information Emergency Contact Person Emergency Contact Telephone # Name of Student's Physician Physician's Phone # Health Insurance Company Insurance ID Number Rain/Weather Policy When calculating the pricing program, we have estimated one day of rain per month. If we have to cancel a second day due to inclement weather, we will make up that class. THERE ARE ABSOLUTELY NO REFUNDS UNDER ANY CIRCUMSTANCES! Δ