(SEE WAIVER FORMS BELOW)

* = required field

Name of your Builder Bee

First Name

Last Name

Names of other family members

Parent Email

Parent Phone Number

(###)

###

####

Builder Bee Date(s) of Birth

T-Shirt Size

Please tell us why you would like to join Builder Bees, e.g. for your daughter to gain friends, increase social skills, do activities, etc.:

What types of sensitivities does your daughter have that we need to be aware i.e., sensitivities to sounds, crowds etc?

Does your daughter have food allergies/dietary restrictions that we need to be aware of?

Does your daughter need assistance for activities or field trips?

Please be aware that during activities or field trips your daughter is welcome to bring an aide if needed. We will also do our best to have enough volunteers for activities/outings.

PLEASE SIGN AND EMAIL THESE FORMS TO :

Thank you, and welcome to the hive!