Playdate Form 🧸
Share the details for your playdate and any preferences.
Child's Full Name
*
First Name
Last Name
Nickname
*
Birthday
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Child's Age
*
Complete Address
*
Last School Attended (if applicable)
*
Playdate Schedule
*
November 7
November 14
November 21
November 28
Mother's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Father's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name of Authorized Pick-Up Person
*
First Name
Last Name
Facebook Acct Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relation to Student
*
Parent/Guardian Email Address
*
example@example.com
Person to Contact in case of Emergency
*
Mother
Father
Guardian
Other
Back
Next
Does your child have any medical conditions the school should know about?
*
Does your child have any allergies? Please specify
*
During the playdate, photos and videos may be taken for documentation and school-related purposes
*
YES, I give permission for my child to be photographed and/or recorded during the playdate.
NO, I do not give permission for my child to be photographed or recorded.
I confirm that the information provided above is true and correct. I understand and agree to the school guidelines, including non-transferable and non-refundable policy.
*
First Name
Last Name
Submit
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