Preschool Stay and Play - Winter Wonders
January 27th, 2026 ~ 9:00 a.m. - 11:00 a.m. ~ 2701 N. Devon Ave. Indianapolis, IN 46219
Child's Full Name
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First Name
Last Name
Parent/Guardian Name
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First Name
Last Name
Date of Birth
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Date
Age
Emergency Contacts: (name, relationship, phone number)
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Primary Language at home
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Zip Code
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I understand it is expected that parents remain in the building during this event.
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Yes
No, I can not stay.
Medical Considerations/Vision Diagnosis (please include if they have a history of seizures and what possibly triggers the seizures)
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Mobility Considerations (choose all that apply)
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Independent Walker
Wheelchair
Gait Trainer
White Cane User
Crawling
Allergies? (food, environmental, etc)
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Photos/Video Permissions (these may be shared by ISBVI, IBCF, or VIPS)
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Yes, you may share photos of my child.
No, please do not share my child's photo.
Any additional information we should know? Sensory Considerations?
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Submit
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