KidzTown Pre-Registration
Enter this information now, and we'll have your children checked in when you arrive.
Parent/Guardian One Name
*
First Name
Last Name
Parent/Guardian Two Name
First Name
Last Name
Email
*
example@example.com
Cell Phone
*
-
Area Code
Phone Number
Address
Child 1
*
First & Last Name
Child 1
*
Please enter in box
Gender
Date of Birth
Child 1 (Age Group)
*
Nursery (0-Potty Trained)
Toddler (Potty Trained-3yrs)
Pre-K & Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Child 1 Additional Information (Allergies, Special Needs, Health Concerns, etc)
Child 2
First & Last Name
Child 2
Please enter in box
Gender
Date of Birth
Child 2 (Age Group)
Nursery (0-Potty Trained)
Toddler (Potty Trained -3yrs)
Pre-K & Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Child 2 Additional Information (Allergies, Special Needs, Health Concerns, etc)
Child 3
First & Last Name
Child 3
Please enter in box
Gender
Date of Birth
Child 3 (Age Group)
Nursery (0-Potty Trained)
Toddler (Potty Trained-3yrs)
Pre-K & Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Child 3 Additional Information (Allergies, Special Needs, Health Concerns, etc)
Child 4
First & Last Name
Child 4
Please enter in box
Gender
Date of Birth
Child 4 (Age Group)
Nursery (0-Potty Trained)
Toddler (Potty Trained -3yrs)
Pre-K & Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Child 4 Additional Information (Allergies, Special Needs, Health Concerns, etc)
Child 5
First & Last Name
Child 5
Please enter in box
Gender
Date of Birth
Child 5 (Age Group)
Nursery (0-Potty Trained)
Toddler (Potty Trained-3yrs)
Pre-K & Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Child 5 Additional Information (Allergies, Special Needs, Health Concerns, etc)
Child 6
First & Last Name
Child 6
Please enter in box
Gender
Date of Birth
Child 6 (Age Group)
Nursery (0-Potty Trained)
Toddler (Potty Trained-3yrs)
Pre-K & Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Child 6 Additional Information (Allergies, Special Needs, Health Concerns, etc)
Submit
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