Phoenix Center Participant Form HeadStart (2025-2026)

Registering for HeadStart Yoga Program 2025-2026 - 08/19/2025 12:00 AM - 05/26/2026 12:00 AM Change

Thank you, we are excited to have you apart of our Phoenix Center Children's Yoga Program!

¡Gracias, estamos encantados de que formes parte de nuestro programa de yoga del Phoenix Center!

Please complete the following for grant data collection: 

Por favor, complete lo siguiente para la recopilación de datos sobre subvenciones:

 

My signature below authorizes Phoenix Center to provide programs and services for my child, to share information and communicate with HeadStart, and releases and authorizes Phoenix Center to obtain information from HeadStart. I have read, understand, and consent to all the above. By signing below, I consent and give permission for my child to participate in Phoenix Center children's yoga program.

Mi firma a continuación autoriza a Phoenix Center a proporcionar programas y servicios para mi hijo, a compartir información y comunicarse con HeadStart, y libera y autoriza a Phoenix Center a obtener información de HeadStart. He leído, entiendo y doy mi consentimiento a todo lo anterior. Al firmar a continuación, doy mi consentimiento y doy permiso para que mi hijo participe en los programas del Phoenix Center programa de yoga para niños.

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Who will be participating?

Adult  Children

Adult Information

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By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.