Les Petits Cygnes Information Form
Fort Worth Assembly - Only ONE CHILD PER FORM
Communication Email (Parent's Email)
example@example.com
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Swan's Full Name
*
First Name
Last Name
Swan's Address
*
Street Address
City
State / Province
Postal / Zip Code
Swan's Age
*
Please Select
6
7
8
9
10
11
12
13
14
15
16
17
Swan's Date of Birth (MM/DD/YYYY)
*
Swan's Grade
*
Please Select
K
1
2
3
4
5
6
7
8
9
10
11
12
Name of Swan's School
*
Swan's School and After School Activities
Swan's Special Accommodations
Child's T- shirt size
*
YS Youth Small
YM Youth Medium
YL Youth Large
S Adult Small
M Adult Medium
L Adult Large
XL Extra Large
XXL 2 Extra Large
Child is a returning member
*
Yes
No
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Parent/Guardian Information
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Registration Fee Payment (transaction fees applied)
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( X )
2026 Little Swan Registration ($75 + $3.23 transaction fee)
Registration fee for 1 child
$
78.23
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