Elementary Afterschool Enrichment

To register for Elementary after school enrichment, please complete the following form in its entirety.

Registration for Columbia is through the CPA.  Registration for Lowell is through Lowell PTA.

Child's Name

Grade
2nd3rd4th5th

Gender
MaleFemale

Name of School

If other

Parent/Guardian Name

Parent/Guardian Phone

Parent/Guardian Email

Who will pick up the child (or will they walk home)?

List any allergies or medical conditions of which coaches should be aware:

Cost: $80 (price includes a new frisbee)
How will you be paying?
Cash or CheckPayPal

Please make checks payable to Bellingham Youth Ultimate.
For PayPal, click link below after submitting form.

YOU MUST check off on the following documents, and digitally sign below to complete your registration:

I have read and understand the Youth Participation Agreement & Release of Liability.

I have read and understand the Concussion Information Sheet.

Digital Signature:

IF PAYING VIA PAYPAL:
After submitting your form, select your price option and click “Buy Now”. The reduced partial price is for those needing financial assistance and is provided by the generous support of your PTA or others in out community.  You do not need a PayPal account to use Paypal.


Price options