New City Kids After School Center
Registration Form
Child's name *
Your answer
Child's grade (18'-19') *
Child's school *
Required
Child's date of birth *
MM
/
DD
/
YYYY
Childs race / ethnicity *
Child's gender *
Home address (street, apt #, city, state, zip) *
Your answer
Allergies and/or physical restrictions *
Your answer
T-shirt size *
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