A Morning with Santa and the Escorts | Deer Park High School

Online registration is not complete until payment has been successfully processed.

50%

Child's Name 1*
First Last
Child 1 Age*
Child's Name 2
First Last
Child 2 Age
Parent/Guardian Medical Authorization*
- Parent Authorization
I authorize DPHS staff to seek medical treatment for my child, if a medical emergency occurs. Check box to authorize.
Please list any medical conditions/food allergies in this box - or type "none" if applicable.*
Medical Treatment Authorization*
- Medical Treatment (Must Be Checked to Attend)
In case of medical emergency, I hereby give permission for the staff of DPHS to seek medical treatment for my child and give permission to medical personnel to administer treatment, if deemed necessary. Check box to authorize.
Signature*
Type your first and last name in this box. This will serve as your "online" signature when the form is submitted.

Parent/Guardian Name:*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian Cell*
Email*
Enter Email Confirm Email
Registration Only - Be sure to change the quantity based on the number of children you are registering.*
Price: $26.25 Quantity:

For more information, be sure to download and print the flyer