What grade is your youth currently in at school? *
Name of Parent / Guardian
Your answer
Phone Number
Your answer
Email Address
Your answer
Can the participant commit to attending all five sessions at the designated times? (not including sickness or emergencies beyond our control) *
Required
One day of the session may include a walking field trip to the Partnership for Children in downtown Troy. Does the participant have the parent's permission to participate in this event? *
This program will include training in basic safety and first aid. This training will NOT result in CPR or First Aid Certification. *
Please specifiy any allergies your youth may have that we need to be aware of. *