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Southlake 2022 JEBA Registration

Emergency Medical Information

Please list any medical conditions of which we should be aware​​


The following must be read and signed by parent/guardian of ALL REGISTRANTS in order to participate:

In the event that my child needs medical attention, I authorize SouthLake Christian Academy and give my consent to its representatives to provide such service and/or to transport my child to a hospital or treatment facility. I hereby certify my child is in good health and may participate in all activities. My signature below indicates the agreement of the parent and the student to abide by the conduct policies. I hereby agree to the Enrichment refund policy. I also have read and understand the SouthLake Enrichment Program Policies and Guidelines.

Please read the waiver. Your printed name is your signature.​​

Payment Information