Register form – Color motion

Which of the programs are you interested in registering for? *

Child's Full Name *

Age *

Mother's Name *

Mother's Mobile *

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Email *

Father's Name *

Father's Number *

Address *

Please name of anyone that will be picking up your child from Color Motion *

Relationship of the picking up your child *

Please list any physical limitations or disabilities your child may have & what restrictions they may cause

Allergies: Please list ALL allergies and medications needed

Emergency contact in case a parent cannot be reached

I herby give permission for the Color Motion staff to take photographs of my chlld during the activity time. These photograohs will be used for bulletin board displays, on Color Motion social media pages and on the website. *

Terms and conditions *

I agree to the terms and conditions

Note: Filling out the online registration form does not mean reserving a seat, as the reservation can only be made after paying the amount via WhatsApp transfer or attending the center.

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