Formulario

Christmas Kids Club

Fill out the form carefully for registration
Number of children you like to register your child?*
Max 4 children

1st Child
Student Name*

First NameLast NameSuffix
Birth Date*

MonthDayYear
Gender*

MaleFemaleN/A
Please list below any food allergies, physical disabilities, or other medical concerns we should be aware of.

2nd Child
Student Name*

First NameLast NameSuffix
Birth Date*

MonthDayYear
Gender*

MaleFemaleN/A
Please list below any food allergies, physical disabilities, or other medical concerns we should be aware of.

3rd Child
Student Name*

First NameLast NameSuffix
Birth Date*

MonthDayYear
Gender*

MaleFemaleN/A
Please list below any food allergies, physical disabilities, or other medical concerns we should be aware of.

4th Child
Student Name*

First NameLast NameSuffix
Birth Date*

MonthDayYear
Gender*

MaleFemaleN/A
Please list below any food allergies, physical disabilities, or other medical concerns we should be aware of.