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- REGISTER HERE -

Child must be 4 by 9/1/17 to be registered!

Please register 1 child at a time

 
Child's Name *
Child's Name
Birth Date *
Birth Date
Address *
Address
Phone *
Phone
In case of emergency, please contact:
Emer. Contact 1 *
Emer. Contact 1
Emer. Contact 1 Phone *
Emer. Contact 1 Phone
Emer. Contact 2 *
Emer. Contact 2
Emer. Contact 2 Phone *
Emer. Contact 2 Phone
Checkbox 1 *
Please select all that apply
Must be signed by parent or legal guardian.