Toddler Time Registration Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please select dates listed below in which you and your toddler will be joining us from 9:00 a.m. - 11:00 a.m.*

How many toddlers are coming with you? (Children over 4 years old may not come to Toddler Time.) *

Does your child(ren) have any allergies we should know about?*

Does your child(ren) have any special needs we should know about?

Read the following statements and check the boxes to agree to the terms:*

I understand and agree that I cannot leave my child(ren) unattended before, during, or after Toddler Time.I understand and agree that snacks will be offered and if my child(ren) has an allergy, I will provide my child(ren) with their own snack.I understand that Bible stories will be told at this event.I know as a parent/guardian that I am responsible for any accidents or injuries that occur to my child(ren) before, during, or after Toddler Time.I understand that this event is for four year olds and under.

Date

Signature