2020 SUMMER KIDS CLUB REGISTRATION
Please complete 1 form for each child
Child's First Name *
Your answer
Child's Last Name *
Your answer
Age *
GRADE
GENDER
PARENT'S NAME *
Your answer
MAILING ADDRESS
Your answer
TOWN
Your answer
ZIP
Your answer
BEST PHONE # *
Your answer
2ND PHONE #
Your answer
BEST EMAIL *
Your answer
SECOND EMAIL
Your answer
EMERGENCY CONTACT NAME *
NOT PARENTS
Your answer
EMERGENCY CONTACT PHONE # *
Your answer
APPROXIMATELY HOW MANY DAYS A WEEK WILL YOU ATTEND
WHICH WEEKS DO YOU PLAN ON ATTENDING
ANY HEALTH ISSUES STAFF SHOULD BE AWARE OF
Please include allergies, or any medical conditions
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy