First Time Family Registration
Welcome! We are so excited to meet your family!
Parent/Guardian Information
Parent/Guardian Full Name
*
Date of Birth
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Relationship to the child
*
Marital Status
*
Please select one option.
Single
Married
Other adults authorized to pick up child (grandparents/friends)
*
Child's Information
Child's First Name
*
Child's Last Name
*
Birthdate
*
Gender
*
Please select one option.
Boy
Girl
Grade
*
Please select one option.
Baby/Toddler
Preschool
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
School
*
Allergies/Special Needs
Child's Information
Child's First Name
Child's Last Name
Birthdate
Gender
Please select one option.
Boy
Girl
Grade
Please select one option.
Baby/Toddler
Preschool
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
School
Allergies/Special Needs
Child's Information
Child's First Name
Child's Last Name
Birthdate
Gender
Please select one option.
Boy
Girl
Grade
Please select one option.
Baby/Toddler
Preschool
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
School
Allergies/Special Needs
Child's Information
Child's First Name
Child's Last Name
Birthdate
Gender
Please select one option.
Boy
Girl
Grade
Please select one option.
Baby/Toddler
Preschool
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
School
Allergies/Special Needs
Permissions
Photo Release
*
Please select one option.
I authorize that my child may be photographed, filmed, and used in video, print, & web presentation.
I do NOT authorize that my child may be photographed, filmed, and used in video, print, & web presentation.
Submit
Description
Welcome! We are so excited to meet your family!
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