Arc Academy Sign-Up Participant Information * First Name Last Name Phone (###) ### #### Email * Parent/guardian Information First Name Last Name Phone (###) ### #### Email Caregiver information First Name Last Name Phone (###) ### #### Email Future class suggestions Participant Food Allergy information Reaction Severity Emergency Contact information First Name Last Name Phone (###) ### #### Email Additional accommodations needed: Any additional medical information we should know: By participating in Arc Academy, sponsored by The Arc of San Juan County, you acknowledge that this is a free, voluntary event. The classes provided are designed to develop skills and independence in individuals with intellectual and/or developmental disabilities. Please note that these classes are not intended to confer any degree or diploma, nor are they equivalent to collegiate courses. Your involvement is entirely voluntary and is meant to support personal growth and skill development. I give consent for Arc Academy by The Arc of San Juan County to use images/videos and other media of the participant for social media content and advertising related to The Arc Academy by The Arc of San Juan County. I understand that while the organization/event will make every effort to accommodate my food allergies, complete avoidance of allergens cannot be guaranteed. I accept responsibility for managing my own food allergies and understand that the organization/event cannot be held liable for any adverse reactions. I acknowledge that the information provided is accurate to the best of my knowledge. Thank you!
