Arch Street Pass Registration

Get the Arch Street Pass today!

In order to register or participate in Arch Street events, or to use the recording studio, every eligible resident or student must complete an Arch Street Pass registration form.

Your username will be the student email address provided on the form, and your password will be what you choose on the form. You are then able to register for all Arch Street has to offer.

Review our Code of Conduct and Eligibility Requirements.

Arch Street Pass Application

By electronically submitting this form, you are in good faith acknowledging that BOTH the student and a parent or guardian will review the following Arch Street Pass Application, check the appropriate boxes as indicated, and submit data that is truthful and accurate.

Eligibility Requirements & Code of Conduct

The Code of Conduct and Eligibility Requirements are located here

Student eligibility:

Student is a resident of one of the towns that comprise Greenwich

Or, student attends a school located in Greenwich

Both Student and Parent/Legal Guardian needs to read and mark below

By checking this box I, the Student, signify that I have read and agree to the Code of Conduct.

By checking this box I, the Parent/Legal Guardian, signify that I have read and agree to the Code of Conduct.

Personal Information

This information will NOT be shared outside of the Arch Street Teen Center. The parent/legal guardian's email address will be added to our mailing list for upcoming events and updates.

Student's First Name

Student's Last Name

Student's Cell

This will be used for program confirmation texts.

Student's Home Phone

Student's Email

Student's Date of Birth (MM/DD/YYYY)

Student's School

Student's Address

City

State/Province

Zip/Postal

Parent/Legal Guardian's Name

Parent/Guardian's Cell Phone

Parent/Guardian Email

Parent/Guardian Home Phone (If Different)

Emergency Contact (Other Than Parent/Guardian)

Name

Relationship to Student

Cell Phone

Home Phone

Work Phone

Health Conditions & Special Needs

Please let us know if there are any health conditions you feel Arch Street Teen Center should be aware of (i.e. allergies, etc).

Liability Waiver

In consideration of participation at Arch Street Teen Center (“ASTC”), we, the undersigned parent/legal representative/guardian and student (“Releasor Student”) (the parent/legal representative/guardian and Releasor Student shall be individually and collectively referred to herein as “Releasors”), hereby agree to indemnify and hold harmless and covenant not to sue ASTC or its employees agents, successors, assigns, volunteers, officers, and directors (individually and collectively referred to herein as “Releasees”) and hereby waive, release, and discharge Releasees from any and all claims for loss or damage, death, personal or bodily injury or property damage which Releasors may have or which hereinafter may accrue to Releasors against Releasees and for any liability arising out of or connected in any way with Releasors’ participation with ASTC. Releasors hereby agree to indemnify and hold harmless and release from all liability, claims, demands causes of action, charges, expenses, and attorney fees resulting from or relating to involvement in any activity at ASTC or involvement with ASTC, whether caused by any negligent act or omission of the Releasees or otherwise. It is further understood and agreed that this waiver and release has been entered into freely and will be binding upon Releasors and their heirs successors, and assigns. Releasors expressly agree that the foregoing release and waiver, indemnity agreement and assumption of risk are intended to be as broad and inclusive as permitted by Connecticut law and that, if any portion of this agreement is held invalid, void, or unenforceable for any reason, it is agreed that the balance or remainder shall, notwithstanding, continue to be in full legal force and effect. By signing this document, Releasors agree to allow images of Releasor Student (video, photo, other digital media) captured during programs/events to be utilized in printed materials, online, or through the media. Releasors agree to waive any rights of compensation or ownership of these images. ASTC is not liable for images of your child (including Releasor Student) that are “tagged” or posted by other individuals on social media or other websites. I, as Releasor, acknowledge I have read and agree to the program policies, permissions, and Code of Conduct. By signing below I acknowledge I have read this document (Student Membership Application, including this Release Agreement), agree to same, and understand its contents.

By checking this box, I, the Student, signify that I have read and agree to the Release Agreement.

By checking this box, I, the Parent/Legal Guardian, signify that I have read and agree to the Release Agreement.

Login Information

Your username will be the student email listed above. Enter the password you wish to use below.

Password:

While the Arch Street Pass is free, some events do carry small entry fees. If this may present a financial difficulty, please contact Kyle to discuss financial aid options.