Family Pre-Registration
Please fill out this form if your child will be attending NazKidz for the first time.
Parent/Guardian #1 First and Last Name: *
Your answer
Parent/Guardian #1 Email: *
Your answer
Parent/Guardian #1 Mobile Phone Number: *
Your answer
Parent/Guardian #1 Street Address: *
Your answer
Parent/Guardian #2 First and Last Name:
Your answer
Parent/Guardian #2 Email:
Your answer
Parent/Guardian #2 Mobile Phone Number:
Your answer
If you are not the parent/guardian pre-registering, tell us your relationship to the child(ren):
Your answer
Each Child's Name and Birthday: *
Your answer
Do any of your kids have allergies or special needs? Explain.
Your answer
Please list any adult who is restricted from picking up your child.
Your answer
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