Tween Thursday

Tween Thursday
Parent's Name

First NameLast Name
Have you registered your child for Tween Group in the past?
Do you give Valuing Our Children permission to take photos of your child that may be posted on our website, social media pages, and/or shared with our funders?

(Parent's) Date of Birth

MonthDayYear
Parent #2 Name (if lives in the household)

First NameLast Name
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email
example@example.com
Phone Number

Area CodePhone Number
Pre-Teen #1 Name

First NameLast Name
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you need to register another pre- teen?

Pre-Teen #2

First NameLast Name
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you need to register another pre- teen?

Pre-Teen #3

First NameLast Name
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Pre-Teen #1 Name

First NameLast Name
Pre-Teen #2

First NameLast Name
Pre-Teen #3

First NameLast Name

I give permission for the above children to attend Tween Thursday run by Valuing Our Children's North Quabbin Family Resource Center (FRC)

If there is anything else you would like to share or comment about please write it in the box below.
Should be Empty: