2018 Kanuga Youth Community Enrollment
Email address *
Child's Name *
Your answer
What age will your child be when they attend Guest period? *
Your answer
This year we are attending Guest Period *
Parent Name(s) *
Your answer
Parent Cell Number *
Your answer
Service at Kanuga? *
Emergency Contact 1 *
Your answer
Emergency Contact 1 Phone Number *
Your answer
Authorized for Child Pick up
Your answer
Can your child swim? *
What is your child's T-Shirt size? *
Your answer
Please list any allergies, health issues, behavioral issues or medications taken on a regular basis that Kanuga's staff need to be aware of. *
Your answer
Anything else we should know?
Your answer
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