Registration Form
Please fill in the form below to register for our playgroups.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
How did you hear about us?
Child 1's Information
Child 1's Name
Child 1's Birthdate
-
Month
-
Day
Year
Date
Do you have any concerns or comments about your child that you would like to share?
Yes
No
Please explain any concerns or comments.
If your child has any allergies please share.
May we use your child's photo in Sandwich Partnership for Families materials and press releases?
Yes
No
Child 2's Information
Child 2's Name
Child 2's Birthdate
-
Month
-
Day
Year
Date
Do you have any concerns or comments about your child that you would like to share?
Yes
No
Please explain any concerns or comments.
If your child has any allergies please share.
May we use your child's photo in Sandwich Partnership for Families materials and press releases?
Yes
No
Child 3's Information
Child 3's Name
Child 3's Birthdate
-
Month
-
Day
Year
Date
Do you have any concerns or comments about your child that you would like to share?
Yes
No
Please explain any concerns or comments.
If your child has any allergies please share.
May we use your child's photo in Sandwich Partnership for Families materials and press releases?
Yes
No
What ethnicity is your family?
What language/s are spoken in the home?
Program Registration
Please indicate which day you would like to register for programming. Both days will be the same activity so please only register for one day. Thank you!
Please select which dates you wish to register your child for.
Friday, 10:00 Finding Fun on Fridays
Sadly, all other programs have closed. If you would like to be added to our waitlist/drop-in list for 9:30 Yoga, 10:30 Yoga, You, Me, We on Tuesday's or PALS, please email Lauren at lgalvano@sandwich.k12.ma.us
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