Registration

Parent #1 Full Name *

Enter full name of first parent or guardian.

First Name

Last Name

Parent #1 Phone *

Enter phone number for first parent or guardian.

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Parent #2 Full Name

Enter full name of second parent or guardian.

First Name

Last Name

Parent #2 Phone

Enter phone number for second parent or guardian.

(###)

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Number of Children *

Select the number of children you would like to attend.

One (1)

Two (2)

Three (3)

Four (4)

Five (5)

Six (6)

More than six

Childcare Sesseions *

Please select the childcare sessions you would like to enroll your child in. (You can select more than one.)

Morning

Afternoon

All-Day

Overnight