EmailMe Form - Santa Breakfast Registration Form

Child 1 Name
First Last
Child 1's age
Child 2 Name
First Last
Child 2's age
Child 3 Name
First Last
Child 3's age
Child 4 Name
First Last
Child 4's age
Do your child(ren) have any food allergies?
Yes
No
Please specify
Parent/Guardian Contact Information
Please enter the name of the parent/guardian who is accompanying the child to the breakfast. One adult per household is free. Additional adults are $5 each, payable at the door.
Parent/Guardian
First Last
Relationship to child(ren)
Phone
### - ### - ####
Email
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Additional Adult Guest
First Last
Additional Adult Guest
First Last
Would you like a Pre Kindergarten or K-5 enrollment packet for your child(ren)?