Sandwich Partnership for Families Registration Form
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?
Would you like to receive a reminder text for special events and registered programs?
Yes
No
If yes, please indicate the best phone number to reach you.
*
Child 1's Name
Child 1's Birthdate
-
Month
-
Day
Year
Date
Child 2's Name
Child 2's Birthdate
-
Month
-
Day
Year
Date
Child 3's Name
Child 3/s Birthdate
-
Month
-
Day
Year
Date
Do you have any information about your child that you would like us to know?
Yes
No
Please explain:
If your child has any allergies please share.
May we use your child's photo in Discover Center materials and press releases?
Yes
No
What ethnicity is your family?
What language/s are spoken in the home?
Program Registration
Please indicate which programs you would like to register for. You will be emailed a notification with your confirmation prior to the start of each program with information. Thank you!
Please select program/s you wish to register your child for.
Yoga with Miss Britt-Mondays, Beginning March 14
Little Naturalists-Tuesdays, Beginning March 1
Stroller Walk and Talk-Wednesdays, Beginning March 2
Toddler Tones in Motion-Thursdays, Beginning March 3
Park & Playground Meet Ups-Fridays, Beginning March 4
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