Playgroup Registration Winter Spring 2021
Messiah Playgroup Registration Form. Our first class will be TUESDAY February 16, 2021 at 9AM. Activities are designed to be readily accessible to two-year-olds. We could have children from newborn to 4, depending on the group dynamics. We ask that adult participants wear a mask. Children will not need to wear a mask. Register for Playgroup by filling out the information below:
Email address *
Child's Name *
Child's Date of Birth *
Child's Address *
Home Phone number
Home Church (if any)
I give Messiah permission to use photos of my child and myself in future promotional material and/or social media? *
Allergies or Health Issues we should be aware of:
Name of Adult Participating with child in Playgroup *
Mother's Name & Phone Number
Father's Name & Phone Number
Emergency Contact Name & Number
I give permission for my child to participate in Playgroup at Messiah. *
Required
Parent Signature *
Date: *
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