CONNECT WITH DAVIE PAL

PAL is a youth crime prevention program that utilizes educational, athletic and recreational activities to create trust and understanding between police officers and youth in our community .

954-321-2561

http://www.daviepal.org

info@daviepal.org

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CHILD REGISTRATION FORM

Once you have registered to one of our programs, check your email for your confirmation number (required). If you do not see our emails right away, please check your bulk/spam folders and accept our domain (daviepal.org). You only need to do this once!

Please fill in the form below to provide additional information about your child/children. Your confirmation number is mandatory,

Child Information Webform

Please include the information about your child/children attending our programs.

***This field is mandatory.

First Name of Parent or Guardian

***This field is mandatory.

Last Name of Parent or Guardian

***This field is mandatory.

Transaction ID number - Must match the Transaction ID number in your receipt.

***This field is mandatory.

Email Address - Must match email used when you registered.

***This field is mandatory.

First Child's First and Last Name

***This field is mandatory.

First Child's Date of Birth

***This field is mandatory.

Second Child/s First and Last Name Second Child/s Date of Birth Third Child's First and Last Name Third Child's Date of Birth

***This field is mandatory.

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