Compassionate HealthEd Foundation Summer Youth Program RegistrationCHF Summer Youth Registration FormFirst NameLast NameAgeSex Male FemaleDate of BirthParent/Guardian NamePhone NumberEmail Address Emergency ContactContact NamePhone NumberMedical InformationAllergies / Medical ConditionsCurrent MedicationsProgram ConsentI give permission for my child to participate in the Compassionate HealthEd Foundation Summer Youth Program.DatePhoto & Media Release (Optional)I authorize the use of photos/videos of my child for educational and promotional purposes.Photo & Media Release YES NOSubmit