Kelly Elementary Dragon Care Registration

Kelly Elementary Dragon Care Registration

Enter your child's details, parent/guardian contact info, pick-up contacts, and any emergency or accommodation needs.
Child Name

First NameLast Name
Student Grade
Additional Child

First NameLast Name
Student Grade
Parent/Guardian 1 Name

First NameLast Name
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Email Address
example@example.com
Parent/Guardian 2 Name

First NameLast Name
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Authorized Individuals for Pickup

Typical Schedule

Rows	Monday	Tuesday	Wednesday	Thursday	Friday
Daily Schedule

Special Accommodations (medical, dietary, behavioral, etc.)
By signing this registration form, I am confirming that I have reviewed the 2026-2027 Dragon Care Handbook.
Signature
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