KidsAct! Registration Form: KidsAct! Royal Oak July 30 - August 4, 2018
Please use this form to register your child or children for KidsAct!
Email address *
Student # 1 Name *
Your answer
Student # 1 Birthdate *
Your answer
Student # 1 Grade in Fall 2018 *
Student #2 Name
Your answer
Student #2 Birthdate
Your answer
Student #2 Grade in Fall 2018
Parent/Guardian #1 Name *
Your answer
Parent/Guardian #1 Phone Number *
Your answer
Parent/Guardian #1 Email Address *
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 Phone Number
Your answer
Parent/Guardian #2 Email Address
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
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