Register for TRUTHOPOLIS 2010!

Truthopolis_Logo.jpg

Please fill out all required fields* or you will not be able to submit your registration and your child will not be considered registered. 

You must fill out a registration form for each child you wish to register! 

The registration fee for Truthopolis is $35.00 per child.  For the second child enrolled it is $25.00 (so that is $60.00 for 2 children enrolled), and if you have 3 or more children enrolled the fee is a maximum of $70.00 total per family.  This is the same fee schedule we have had every year for many years and it has not gone up. 

 

 

Child's First Name:*
Child's Last Name:*
Child's Birth Date:*
Age:*
Last Grade Child Completed:*
Home Phone:*
Street Address:*
City:*
State:*
Zip Code:*
E-mail Address:*
 
Name of Parent or Guardian 1:*
Parent or Guardian 1 Cell Phone #:*
Name of Parent or Guardian 2:*
Parent or Guardian 2 Cell Phone #:*
Emergency Contact Name:*
Emergency Contact #:*
Any Allergies or Medical Conditions?*
 
In the event we are unable to contact you in an emergency, do we have permission to seek medical help for your child?*

 
 
Medical Insurance Carrier:*
 
Insurance Policy #*
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What is the sum of three and eight?*