2007/2008 Delano DI Registration Form  —  Please fill out one form per child     

 

How did you hear or learn about Delano DI? 
Student's First Name   Last Name    Home Phone 
Street Address   City   Zip Code  
Student's Birth Date   Student's T-Shirt SizeY-S  Y-M  Y-L  A-S  A-M  A-L A-XL

Student's Current Grade (2007-2008 School Year)

2nd

3rd 

4th

5th

6th

7th

8th

9th

 10th 

11th

12th

Teacher's Name (if known) TA's Name (5th—8th grade)
I was on a team last year and:  I would like to stay with this team if possible  I would be okay with being added to a new team

Do you have a friend or friends you would like to be paired with on a team or you think would be really great at DI?
 Please list their name (s) and phone (s) below:
 #1 Friend's Name                      #2 Friend's Name
      Friend's Phone                           Friend's Phone
 #3 Friend's Name                      #4 Friend's Name
      Friend's Phone                           Friend's Phone
(It's our goal to keep friends together whenever possible, so we encourage you to ask a buddy to sign up with you!)
 I can’t think of anyone right now. Please add me to a team.

What other extra curricular activities do you participate in during the school year? Please list them below:
 

Dad's First Name Last Name Home#
 Work # Cell# Parent's Email

Mom's First Name Last Name Home#
Work # Cell# Parent's Email   
Parents: Please check a minimum of two volunteer roles below,  as parent involvement is required with your child's registration:  
Co-Manager (Main Challenge: Challenges outlines are supplied and  you help them think "out-of-the-box" to solve their chosen challenge.)
 Co-Manager (Instant Challenge: Easy to compile and lead. All you do is collect the household supplies from your home and/or the DI room and lead the team through a challenge using the directions supplied.)
 Co-Manager (Administrative duties: Contacting team members, sending script updates, setting up team meetings, etc.)  
 Skill Mentor (Do you have a skill you can share? Building, Welding, Art, Sewing, etc?): Visit just one of your child's team meetings to give the team some pointers on how to apply a skill. Your skill may be the one to help them create an amazing solution to their challenge.
 Host practices and store your child's team's props at your home.
Work a station at the early-November Instant Challenge Fair (Easy and fun 3-hour shift)
Work a station at the Instant Challenge Fair in early-February (Easy and fun 3-hour shift) 
Host a pre-season party for your child's team. (Get to know you gathering-something fun.)
Host a post-season party for your child's team. (Help them close out the season with a "bang" and a good time.)
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 Payment Information:
 Visa   MC   Amex   Mail a check or send it to school (directions for this method will display after submitting this form)
Name displayed on credit card
Credit Card # Expiration Date   Security Code
Activity Fee Charge:    2nd—4th grade ($75 Activity Fee)     |    5th—12th grade ($125 Activity Fee)

By submitting this form, you agree to pay via the method selected and to abide by the
Delano DI Acknowledgement, Understanding, & Permission to Display Child’s Photo Form   (Click here to read the form)

Remember to fill one form out for each of your children registering for DI. Thanks!