Registration & Parent Consent

Child Name *
Parent/Guardian Name *
Emergency Contact Phone *
Grade Level *
Tutoring Interest

Media Consent: I allow photos/videos of my child during ILD activities.

 *

Virtual Participation Consent: I approve my child to join ILD online sessions.

 *

Behavioral Agreement: My child agrees to be kind and respectful.

 *

Parent Signature Acknowledgment

 *
Notes or Accessibility Needs