Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Friends Club Registration Form
Friends Club begins on Wednesday, September 23rd at 6:00 pm
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full Name of Child
*
Your answer
Gender
*
Male
Female
Child's Age
*
Your answer
Child's Grade in School
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Does the child have any special needs?
Your answer
Does the child have any known allergies?
Your answer
Is the child on any medications we should be aware of?
Your answer
Residential Parent or Guardian
*
Your answer
Home Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Primary Phone Number
*
Your answer
Cell Phone Number(s) of Parent or Guardian
Your answer
Alternate Contact in Case of an Emergency
Your answer
Phone Number(s) of Alternate Contact
Your answer
Relationship to child
Your answer
Would you like to receive text messages to update you on club events and cancellations?
Yes
No
Clear selection
Phone number to use for text messages
Your answer
May we photograph your child for Friends Club presentations or promotion?
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
