Friends Club Registration Form
Sign in to Google to save your progress. Learn more
Full Name of Child *
Gender *
Child's Age *
Child's Grade in School
Child's Date of Birth *
MM
/
DD
/
YYYY
Does the child have any special needs?
Does the child have any known allergies?
Is the child on any medications we should be aware of?
Residential Parent or Guardian *
Home Address *
City *
State *
Zip Code *
Primary Phone Number *
Cell Phone Number(s) of Parent or Guardian
E-Mail Address (Optional)
Alternate Contact in Case of an Emergency
Home Address of Alternate Contact
City
State
Zip
Phone Number(s) of Alternate Contact
Would you like to receive text messages to update you on club events and cancellations?
Clear selection
Phone number to use for text messages
May we photograph your child for Friends Club presentations or promotion? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.