EmailMeForm
November 2021 Family Registration
Please fill out all the information below if you would like to register your family for Carrie's Kids Events, Clubs, Programs and Newsletter.
Parent/Guardian Name
*
First
Last
Email
*
Phone
*
###
-
###
-
####
How do you prefer us to contact you?
Text message on your cell phone
Email
What city do you live in?
*
Bismarck
Mandan
Other
Living Arrangements
*
Own Home
Rent Home
Mobile Home
Apartment
Motel/Hotel
Shelter
Other
Please pick one of the followiing
*
Parent
Grandparent
Foster Parent with Path
Foster Parent with Burleigh/Morton County
Kinship
Other
Please provide the following information for children you are registering. Thank you :)
Family Information
First Name
Grade (Kindergarten through High School ONLY)
Birthdate
School Attending 2021-2022
Student
Student
Student
Student
Student
Student
Student
Student
Would you like to be notified about future events by email?
*
Yes
No
Select areas of interest for your children?
Make-up Diva Nights
Legos that are not kits
Anime
Art
Crafts
Nerf
Dodgeball
Other
Anything you would like to share with us that would be helpful?
