Redeemer Parent's Day Out
Register now for the Fall 2018 & Spring 2019 terms!
Redeemer PDO meets Tuesdays & Thursdays from 9a to 2p and costs $20 per child per day.
Please complete the form for each child you wish to register.
Questions? Email maddiereed315@gmail.com
Child's full name *
Your answer
Child's Date of birth *
Your answer
Gender *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent/Gaurdian Name (1 - emergency contact) *
Your answer
Parent/Gaurdian Name (2 - emergency contact) *
Your answer
Parent/Guardian Cell #1 *
Your answer
Parent/Guardian Cell #2 *
Your answer
Preferred email *
Your answer
Child's Allergies *
Your answer
Days of Attendance *
Persons, other than parents, authorized to pick up child (please list relationship to child and phone number)
Your answer
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