Tomahawk Club Registration Personal InformationName* First Last Father's Name* Mother's Name* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone Number*Father's Cell Phone NumberMother's Cell Phone NumberParent Email Address* Date of Birth* Month Day Year EducationSchool* Grade*7th8thGPA from Last Year* Other InformationHave you attended activities at Sauganash before?* Yes No Would you like to share your contact info with other parents in order to coordinate transportation?*For all those who mark 'yes' below, we will help you coordinate travel plans to Tomahawk Club with other students in your area by sharing your contact info with each other (name, city, home phone number). You can then contact directly those in your area about the possibility of carpools or riding the train together. We will send you this contact information as the first session approaches. Yes No Electronic Signature for Photo Release*I hereby authorize and consent to the use and reproduction by Tomahawk Club staff or an authorized agent or assignee of any and all photographs taken of my son for the purpose of promoting Tomahawk Club, without any compensation to me. All film, together with any prints, shall constitute property of Sauganash Study Center, solely and completely. Reference*Who recommended this program to you? CommentsPlease include any dietary restrictions or medical conditions the staff should be aware of.
