Participant Registration Form for Party In The Park: Families and Father’s Day Celebration Saturday, June 7, 2025

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Please register below. Event is at Wheaton Regional Park, 2000 Shorefield Road, Silver Spring, MD 20902, from 11 am to 3 pm.

Your email *

First Name *

Last Name *

Address *

Phone number *

How did you hear about the event?

Flyer

Website

Word of Mouth

Text

Other:

Clear selection

Are you an HOC housing or program participant? *

yes

Do you currently have a child in Head Start or Prekindergarten?

Yes

Clear selection

How many people, including you, will be attending the event? *

How many adults? *

Please include yourself in the number of adults.

How many children? *

What are the ages of your children (please mark all that apply)

infant 0-2

toddler 2-3

preschool age 3-5

young elementary, 5 to 8 years old

older elementary, 8 to 10 years old

preteen, 10 to 12 years old

teenagers 13 to 18 years old

Are you planning to apply for Head Start/Prekindergarten at the event?

Yes

Clear selection

Do you have health insurance?
*

Yes

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