KKPAT End of Summer Celebration: Transitions and Routines
Sign up for our August 29, 2024 group connection event by filling out the form below. Join us for an end of summer celebration, including dancing and parent-led discussion around transitions and routines.
Your name
*
Primary email
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
List the adult caregiver(s) attending (Date of birth and ethnicity are required for each adult, including yourself, to register for the event)
*
First Name
Last Name
Gender
Date of birth
Ethnicity
1
2
List the child(ren) attending (Date of birth and ethnicity are required for each child, to register for the event)
*
First Name
Last Name
Gender
Date of birth
Ethnicity
1
2
3
4
5
Is English your primary language?
*
I authorize the use of the story/photo/video taken of/by me and my child(ren) on August 29th, 2024 at 7201 Ridge Ave Philadelphia, PA, for the purposes including broadcast, promotions, media, or sales related situations or other uses deemed suitable by Kutest Kids Early Intervention and Parents as Teachers.
I understand Kutest Kids Early Intervention and Parents as Teachers are not responsible for any personal injuries that may occur on August 29th, 2024 and I will not attempt to hold them liable if any injuries may occur.
Register
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