November & December Registration
Email address *
Parent Last name *
Your answer
Parent First name *
Your answer
Parent or Caregiver who will bring child(ren) to the program
Your answer
Best Phone Number *
Your answer
Total # of children in your family under 8 *
Your answer
Child #1 registering for these programs *
Your answer
Date of Birth
MM
/
DD
/
YYYY
Child #2 registering for these programs
Your answer
Date of Birth
MM
/
DD
/
YYYY
Additional Children & Date of birth registering for these programs
Your answer
Please select all programs you are requesting. New participants will be given preference in each program type.
Please note the ages for each program when you are making your selections.
Parent/Child Program Selection *
Required
A copy of your responses will be emailed to the address you provided.
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