Parent & Child- New Participant Registration

Parents First name

Parent Last name

Parent Email

Parent Phone

Child's Name

Child's Birthday

Month

Day

Year

Does your child have any food allergies?

Yes

No

If yes, please list allergies

From time to time, there could be photographs taken of children playing in this class. Although we try not to photograph children's faces, these photographs could end up on our website or our social media account. Please check the box if we have your permission to photograph your child.