Admissions Open House Registration
Child's Name 1
*
First Name
Last Name
Child's Birthday
*
-
Month
-
Day
Year
Date
Child's Gender
*
Please Select
Male
Female
Current School
*
Child 2 Name
First Name
Last Name
Child 2 Birthday
-
Month
-
Day
Year
Date
Child 2 Gender
Please Select
Male
Female
Current School
Parent/Guardian 1 Attending Name
*
First Name
Last Name
Parent/Guardian 1 Relationship to child
*
Please Select
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Parent/Guardian 1 Phone Number
*
-
Area Code
Phone Number
Parent/Guardian 1 Email
*
example@example.com
Is there a 2nd parent/guardian planning to attend this event?
*
Yes
No
Parent/Guardian 2 Name
First Name
Last Name
Parent/Guardian 2 Relationship to Student
Please Select
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 Phone Number
-
Area Code
Phone Number
Total Number of People Planning to Attend Open House (Please bring student if possible)
*
How did you hear about Kaiden's Korner Childcare Services?
*
Please Select
Google
Instagram
Facebook
Word of Mouth
Passing by location
Other
If you selected "Other"; Please specify
Submit
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