Community:Kids Family Information
Please take a moment to let us know more about your family!
* Required
Email address
*
Your email
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:
Choose
Option 1
Child #2 - Allergies:
Your answer
Child #3 - Name
Your answer
Child #3 - Birthday
MM
/
DD
/
YYYY
Child #3 - Grade:
Choose
Option 1
Child #3 - Allergies:
Your answer
Child #4- Name
Your answer
Child #4 - Birthday
MM
/
DD
/
YYYY
Child #4 - Grade:
Choose
Option 1
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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