SCP Child Information Form

SCP Child Information Form

Registration form Skidaway Community Preschool

My Products*

SCP Art ClubYou are subscribing to Skidaway Community PReschool Art Club. You will be charged monthly on the date your subscription started. Your subscription will end in May but can be cancelled at anytime by reaching out to Lori at 912-656-1237.

$70.00 for each month

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Child information
Name

First NameLast Name
Birthday

MonthDayYear
Date
Art Club is for students in the 3 yr old or 4 year old classroom. Whose class is your child in?
Is your child

MaleFemale
Does your child have any allergies?

YesNo
If so, What are they allergic to?
Parent Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Emergency contact name and number other than parent. (Parent will be called first)
Should be Empty:

SCP Child Information Form

Child information

Parent Information