Love, Joy, Peace...
Name (Required)
Email Address (Required)
Your Phone Number (Required)
Your Address (Required)
Additional / Emergency Contact Name
Additional / Emergency Contact Number
Additional / Emergency Contact‘s Relationship to Child
(e.g. grandmother, aunt)
Child’s Name (Required)
Please register one child at a time.
Child’s Birthday
Child’s School Grade Level (Required)
Child’s Allergies or Medical Info
After Grow, Child: (Required)
Can be picked up by mom
Can be picked up by dad
Can walk home
Other
Other
Do we have permission to photograph and use your child’s likeness in newsletters? (Required)