Program Registration - Shora Foundation

Register Your Child

Please use this form to pre-register your child for our after-school or summer program. Please note children must be between the ages of 6 and 13 to attend. If you have a question or special request, please email tharper@shorafoundation.org

Program Registration

Email
Parent/Guardian Name*
First Last
Child's Name*
First Last
Child Two If Applicable
First Last
Child Three If Applicable
First Last
Please choose which program you are registering for.*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country