Participant Name *
Participant Name
Date of Birth
Date of Birth
Please select which program you are registering for.
Waiver *
I certify that my child is medically qualified to attend Arrington Training & Development programs. I hereby authorize the staff of Arrington Training & Development to act for me, according to their best judgement in any emergency. I give permission for a physician and/or hospital emergency room to administer necessary care. I waive and release Arrington Training & Development, its staff and facilities of all liability for illness/injury incurred while my child is participating.

Please submit form first • YOU WILL RECEIVE A CONFIRMATION EMAIL • Invoice will be sent by email within five days of registration

Mail checks to:

ATD

15131 Southlawn Lane, Unit E

Rockville, MD 20850