Register for an Event

Please click the link here if you are looking to register for the Adult Employment Readiness Program

To register for King's Island Field Trip or the Senior Trip to Ark Encounter, please come in to our office at 10119 John Marshall Drive Indianapolis, IN 46235 to register and pay, so we can hold your seat.

Call 317-890-9817 for questions.

Full Name

Zip Code

Participant Age

Phone

Street Address

Street Address Line 2

City

Postal / Zip code

Region/State/Province

Which event are you attendng?

Community Street Outreach

Creating Change for Transportation

RELEASE, WAIVER OF LIABILITY AND INDEMNIFICATION General Consent: By checking the radio button below, I hereby agree to release and hold harmless Pathway to the Future Learning Center, Inc. DBA Pathway Resource Center, Inc. and its affiliates. MEDIA RELEASE I grant to Pathway Resource Center, Inc. the exclusive right to use photograph/video or film likeness in media and promotional materials.

Yes, I have read the above waiver

Participant Signature

Date

Please provide Parent/Guardian information and signature below if participant is under 18.

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone

Parent/Guardian Signature

Date

Thanks for registering. See you there!