Community:Kids Family Information
Please take a moment to let us know more about your family!
Email address *
Parents'/Guardians' names: *
Your answer
Household address: *
Your answer
Dad's cell phone with area code: *
Your answer
Mom's cell phone with area code: *
Your answer
Primary email: *
Your answer
Secondary email:
Your answer
Child Information
Please take a moment to let us know about each of your children!
Child #1- Name *
Your answer
Child #1 - Birthday *
MM
/
DD
/
YYYY
Child #1 -Grade: *
Your answer
Child #1 - Allergies: *
Your answer
Child #2-- Name
Your answer
Child #2 - Birthday
MM
/
DD
/
YYYY
Child #2 - Grade:
Child #2 - Allergies:
Your answer
Child #3 - Name
Your answer
Child #3 - Birthday
MM
/
DD
/
YYYY
Child #3 - Grade:
Child #3 - Allergies:
Your answer
Child #4- Name
Your answer
Child #4 - Birthday
MM
/
DD
/
YYYY
Child #4 - Grade:
Child #4 - Allergies:
Your answer
Child #5- Birthday
MM
/
DD
/
YYYY
Child #5 - Grade:
Your answer
Child #5 - Allergies:
Your answer
Child #6- Name
Your answer
Child #6 - Birthday
MM
/
DD
/
YYYY
Child #6 - Grade:
Your answer
Child #6 - Allergies:
Your answer
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