Drop and Shop Registration
Fill out this form to sign your child up for the Drop and Shop kids’ event on Saturday, December 15, 2018 10am - 2pm. This event is for 4-year-olds through 5th grade. We would love to hang out with your children to provide you with some time to prepare for Christmas. We will be showing a movie (Polar Express for 1st - 5th and claymation Rudolph 4 year olds - Kindergarten), have crafts, games, and lunch. Please fill out this form for each individual child.
What is the child's first name? *
Your answer
What is the child's last name?
Your answer
What is your child's age/grade? *
Please list the child's parents first and last names. *
Your answer
Parent's Phone Number *
Please provide the cell phone number of at least one of the child's parents, if not both.
Your answer
Parent's Email Address *
Your answer
Does your child have any medical conditions, allergies or special circumstances we need to be aware of? *
Your answer
Please list an additional emergency contact's name and phone number. *
Your answer
Is there anyone else whom you give permission to pick up your child (other than the registering parent and emergency contact)? *
If yes, what is their name and phone number?
Your answer
Do we have permission to take a picture of your child to use in a craft? *
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