Registration Form

Please fill out the form below. Once we’ve recieved it you will receive a phone call from one of our team members. Once you speak with a team member we will confirm your childs spot as well as complete payment at that time.

Child's Name (required)

Nickname or any other name your child prefers?(required)

Date of Birth(required)

Parent's Name(required)

Parent's Phone Number (required)

Email Address(required)

Emergency Contact Name(required)

Emergency Contact Phone Number(required)

Alternate Pick-Up Name(required)

Altenate Pick-Up Phone Number(required)

Date – Week(s) of Attendance (required)

Allergies (Both seasonal & Food)(required)

What hobbies does your child enjoy?(required)

What are your child's strenghts and weaknesses?(required)

What else would you like to share with us about your child?(required)