REGISTRATION FORM

2007

OPENING DAY: SUNDAY, SEPTEMBER 9th

 

 

Child’s name   _________________________________________________

 

Parent’s names  ________________________________________________

 

Mailing Address:  _______________________________

                           _______________________________

 

   email address: ________________________________

Phone number ________________________ 

Cell phone number _____________________

 

Grade___________                 Age________

Birth date______________________

Allergies_______________________

 

Anyone whom your child may not be released to:_____________________

 

Special needs or concerns:

____________________________________________