Kids & Teens Program

Enrollment Form

Required fields are displayed in red

Parental / Guardian Release:

Company (if applicable): Date:
Parent/Guardian signatures will be required on site.
Parent/Guardian Name: Signature:  
Parent/Guardian Name: Signature:  
Hotel Room #:   (to be completed at the Classic)

Mailing Address:

Street:
City:
State:
Zip:

Contact Information:

Home Phone:
Office Phone:
Cell Phone:
Name
(Kids 5-11, Teens 12-15)
AgeKids Day ProgramKids Evening ProgramTeens Afternoon ProgramTeens Evening ProgramTeens Attending Banquet*ID**
1
2
3
4
5

*Teens (age 16 and older) have the option of attending the Classic Banquet with their parents.
** For all organized activities:
Green ID - My child has permission to leave on his/her own during an in-hotel activity.
Blue ID - My child has permission to leave on his/her own at the end of the activity.
Red ID - My child must not be released until picked up by parent or guardian.

Please list any medical conditions your child/children may have:

If you have any questions, please call the Classic Desk at (954) 420-3286 or e-mail jimmoranclassic@yatc.com.