Wednesday Night Activities

Wednesday Night Activities

This information will be used to communicate with the parents about what we do each Wednesday night.
Wednesday night Registration

Pre-School through 5th Grade Registration
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Child's CURRENT grade (for the 2022-2023 School Year)*
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Email*
example@example.com
Please list any allergies your child may have:*
Should be Empty:

Wednesday night Registration