Youth Group & Event Registration Form
Use this form to register children for Daddy Backwards Entertainment's EVENTS & YOUTH GROUPS. PLEASE DO NOT SUBMIT A CHILD MORE THAN ONE TIME. Once we receive your enrollment, we will send a confirmation email within 48 hours, Please be patient. #DaddyBackwards
Parent Name
*
First Name
Last Name
Phone Number:
-
Area Code (example: 203)
Phone Number
Email:
*
Confirmation Email
example@example.com
Child #1:
*
First Name
Last Name
Current Age:
*
Gender:
*
Male
Female
Event or Group:
Community Enrichment Program (3/1 - 6/9/26)
Family Bingo (2/21/26)
Child #2:
First Name
Last Name
Current Age:
Gender:
Male
Female
Event or Group:
Community Enrichment Program (3/1 - 6/9/26)
Family Bingo (2/21/26)
Child #3:
First Name
Last Name
Current Age:
Gender:
Male
Female
Event or Group:
Community Enrichment Program (3/1 - 6/9/26)
Family Bingo (2/21/26)
If You need to register more than 3 children, please submit another form with the remaining children.
PLEASE READ:
The vast majority of our communication is done via email for our events and youth groups. You will need to get the emails that contain the details of our events and youth groups. Be Sure to add our email address as a "Favorite" to ensure that you receive our emails: info@DaddyBackwardsEntertainment.com
Register Now
Should be Empty: