Community Enrichment Program Registration Form
Use this form to register for Daddy Backwards Entertainment's Community Enrichment Program. 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
Adult Name: (Parent/Guardian/Caregiver)
*
First Name
Last Name
Phone Number:
Format: (000) 000-0000.
Email:
*
Confirmation Email
example@example.com
NAME: Child's #1:
*
First Name
Last Name
AGE: Child #1:
*
GENDER: Child #1:
*
Male
Female
NAME: Child #2:
First Name
Last Name
AGE: Child #2
GENDER: Child #2:
Male
Female
EMAILS REQUIRED:
The vast majority of our communication is done via email for this group. You will need to get the emails that contain important details & information. Be Sure to add our email address as a "Favorite" to ensure that you receive our emails: info@DaddyBackwardsEntertainment.com
PAYMENT INFO:
Once You Submit this form, you will be redirected to our payment page. You must pay each week, beginning at the 1st week listed, no matter if your child attends that week or not.
Register Now
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