SixTwelve After School Adventure Registration

Once you have registered your student, we will send you the Medical Release Form, Social Media Release Form and a more in depth registration form. Thank you!

Student's Name *
Student's Name
Birth Date of Student *
Birth Date of Student
Parent or Gaurdian Name *
Parent or Gaurdian Name
Parent or Guardian Address *
Parent or Guardian Address
Parent or Guardian Phone *
Parent or Guardian Phone