St. Michael's Church Foster Parent Day Out Saturday, July 21, 3:30 - 6:00 p.m. Child Sign-up Form
PLEASE NOTE THAT FOR SAFETY, PARENTS OR OTHERS ARE REQUIRED TO COME INSIDE TO DROP OFF AND PICK UP CHILD, AND MUST HAVE ASSIGNED IDENTIFICATION CARD GIVEN AT THE TIME OF REGISTRATION!

Please fill out the form below and click the submit button at the bottom of the page!

Parent/s Name/s? *
Your answer
Parent/s phone number/s? *
Your answer
Emergency Contact Name/s? *
Your answer
Emergency contact/s phone number/s? *
Your answer
Any protective information that we need to be aware of? *
Your answer
Child's Name: *
Your answer
Child's Age: *
Your answer
Potty trained (if applicable) *
Snacks/dinner will be provided. Please list any food allergies or other information we need to know about. *
Your answer
Are there any other issues that we should be aware of? (List allergies, health conditions, behavioral challenges or other things to note). *
Your answer
Any other information we need to know to ensure that your child has a fun and safe experience? *
Your answer
Submit
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