Registration
2026/ 2027 Year
Parent/Guardian Name
*
First Name
Last Name
Phone Number
*
Format: 000-000-0000.
Email
*
example@example.com
Do you want to add contact information for a second parent?
*
Yes
No
Parent / Guardian 2
Parent/Guardian Name
First Name
Last Name
Phone Number
Format: 000-000-0000.
Email
example@example.com
Parent Info
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My child's photo may be used for promotions and slide shows
My child's photo may be used for internal slideshows only
Number of children registering
*
Child 1
Child's Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Class/Grade
Wiggly Worms (under 2)
Busy Bees (2-3 yrs olds)
Pre-K (4-5 yrs old)
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Does your child need a NEW shirt? Pre-K to 5th grade only
Yes
No
If yes, indicate T-Shirt size
Please Select
Youth S
Youth M
Youth L
Adult S
Adult M
Any Allergies or other health needs?
Yes
No
Describe allergen(s) or health needs and actions staff need to follow
Child 2
Child's Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Class/Grade
Wiggly Worms (under 2)
Busy Bees (2-3 yrs olds)
Pre-K (4-5 yrs old)
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Does your child need a NEW shirt? Pre-K to 5th grade only
Yes
No
If yes, indicate T-Shirt size
Youth S
Youth M
Youth L
Adult S
Adult M
Any Allergies or other health needs?
Yes
No
Describe allergen(s) or health needs and actions staff need to follow
Child 3
Child's Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Class/Grade
Wiggly Worms (under 2)
Busy Bees (2-3 yrs olds)
Pre-K (4-5 yrs old)
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Does your child need a NEW shirt? Pre-K to 5th grade only
Yes
No
If yes, indicate T-Shirt size
Youth S
Youth M
Youth L
Adult S
Adult M
Any Allergies or other health needs?
Yes
No
Describe allergen(s) or health needs and actions staff need to follow
Child 4
Child's Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Class/Grade
Wiggly Worms (under 2)
Busy Bees (2-3 yrs olds)
Pre-K (4-5 yrs old)
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Does your child need a NEW shirt? Pre-K to 5th grade only
Yes
No
If yes, indicate T-Shirt size
Youth S
Youth M
Youth L
Adult S
Adult M
Any Allergies or other health needs?
Yes
No
Describe allergen(s) or health needs and actions staff need to follow
Child 5
Child's Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Class/Grade
Wiggly Worms (under 2)
Busy Bees (2-3 yrs olds)
Pre-K (4-5 yrs old)
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Does your child need a NEW shirt? Pre-K to 5th grade only
Yes
No
If yes, indicate T-Shirt size
Youth S
Youth M
Youth L
Adult S
Adult M
Any Allergies or other health needs?
Yes
No
Describe allergen(s) or health needs and actions staff need to follow
Child 6
Child's Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Class/Grade
Wiggly Worms (under 2)
Busy Bees (2-3 yrs olds)
Pre-K (4-5 yrs old)
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Does your child need a NEW shirt? Pre-K to 5th grade only
Yes
No
If yes, indicate T-Shirt size
Youth S
Youth M
Youth L
Adult S
Adult M
Any Allergies or other health needs?
Yes
No
Describe allergen(s) or health needs and actions staff need to follow
Section Registration
Submit
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