Ethics for Children RYSEC

We look forward to seeing your child at the Ethics for Children program! We need one copy of this per child. Please complete this to register your child for the Ethics for Children program, or to help us have information about your child if you're just checking us out.

Child's Name *

Category *

Birth Date *

Current Age *

Grade in school this year

What allergies, medical conditions, etc. do we need to know about?

Adult 1 Name *

Adult 1 Phone *

Adult 1 Email *

Mailing Address *

Adult 2 (if applicable)

Adult 2 Phone

Adult 2 Email

Emergency contact name: *

Emergency contact phone *

Relationship to child *