EmailMeForm
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Child #1
Select the drop-in days you would like to register for.
*
Tuesday - March 5th (Chuck-E-Cheese)
*If you are currently enrolled in our Before & After School Program - Only fill out this form if we are less than 1 week from the date you are registering for.
1st Child's Name
*
First
Last
Female Or Male
*
Female
Male
Birth Date
*
MM
/
DD
/
YYYY
School Attending
*
Special remarks, allergies, etc.
Do you want to register a 2nd Child?
*
Yes
No
1
/
8
Total
$0.00
