Winter Safety

Child Information

Name

First

Last

School

For adult participants, please input "Bridge Link"

Grade

For adult participants, please input "Adult Participant"

Parent/Guardian Name

First

Last

Parent/Guardian Phone Number

Child permission or

Parent/Guardian Email

Do you give permission for CBFY to take photos or videos of you and/or your child(ren) during this event for use on our social media, website, and promotional materials?