Child Registration

Child Information

First Child’s First/Last Name
First Child’s Gender
MaleFemale
First Child’s Birthday

First Child’s Grade
Second Child’s First/Last Name
Second Child’s Gender
MaleFemale
Second Child’s Birthday

Second Child’s Grade
Third Child’s First/Last Name
Third Child’s Gender
MaleFemale
Third Child’s Birthday

Third Child’s Grade
Fourth Child’s First/Last Name
Fourth Child’s Gender
MaleFemale
Fourth Child’s Birthday

Fourth Child’s Grade
Fifth Child’s First/Last Name
Fifth Child’s Gender
MaleFemale
Fifth Child’s Birthday

Fifth Child’s Grade

Parent/Guardian Information

Dad/Stepdad/Guardian First/Last Name
Cell Phone
Email
Mom/Stepmom/Guardian First/Last Name
Cell Phone
Email

Marital Status of Parents/Guardians

SingleMarriedWidowedDivorced

Address for Child(ren)

Address
City
State
Zip Code
Do we have permission to take/display photographs of your child(ren)? YesNo
Any other details we should know? (Food allergies, etc.)

If you do not receive a successful submission message after clicking "Submit," make sure all required fields are filled in.