Child's Program Registration

August 19, 2023 | Please fill out this form and click submit.

We are thrilled about getting to work with your kids!

The program will be from 9 AM-4 PM on Saturday. Each child must have a responsible parent or adult on campus with them. We'll send you an email with more details following registration.

If you have younger children, ages 1-4, that you would like to register for nursery, you can do so here. You also are more than welcome to keep your children with you. If needed, we have cry rooms available, as well as a nursing mother's room.

Family Information

Parent/Guardian 1 Name

*

Address

*

Phone

*

Emergency Contact

*

Email

*

This address will receive a confirmation email

Relationship to Child

*

Please select one option.

Father Mother Grandfather Grandmother Guardian Other

Parent/Guardian 2 Name (optional)

Phone

Emergency Contact

Relationship to Child

Please select one option.

Father Mother Grandfather Grandmother Guardian Other

Child 1 Information

Name

Age

Please select one option.

5 6 7 8 9 10

Gender

*

Please select one option.

Male Female

Food Allergies/Medical Concerns

Child 2 Information

Name

Age

Please select one option.

5 6 7 8 9 10

Gender

Please select one option.

Male Female

Food Allergies/Medical Concerns

Child 3 Information

Name

Age

Please select one option.

5 6 7 8 9 10

Gender

Please select one option.

Male Female

Food Allergies/Medical Concerns

Child 4 Information

Name

Age

Please select one option.

5 6 7 8 9 10

Gender

Please select one option.

Male Female

Food Allergies/Medical Concerns

Description

August 19, 2023

Please fill out this form and click submit.

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