STARS Registration

Registration Open for Roller Skating and Swimming!

(Program available for ages 9-26)

Stars Registration – Roller Skating – June 2024

After Pre-Registration please contact your CSC or FMS worker to request approval of services for this program immediately. Once authorization is approved we will contact you to confirm and finalize registration, including distributions of uniforms.

Class Registering For

Participant’s name

Participant's name

First

Last

Is participant a Regional Center client?

Are your services through self-determination or regional center? Are your services through self-determination or regional center?

Regional Center UCI#

CSC Worker’s Name

CSC Worker's Name

First

Last

CSC Worker’s Phone #

CSC Worker’s Email

If you are NOT a client through regional center or self-determination, would you like more information on how to apply for a scholarship?

Participant’s Date of Birth

Does your child require a 1 on 1?

Is there any other information we need to know about your child?

Parent/Guardians Name

First

Last

Parent/Guardians Phone Number

Parent/Guardians Email

Street Address

City

State

Zip Code

What size shirt is your child? Select S, M, L, XL,XXL

What other sports are you interested in?

CAPTCHA

If you are human, leave this field blank.

Registration Open for Roller Skating and Swimming!

(Program available for ages 9-26)

Send questions to stars@chasing7dreams.org

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