DISCOVERY Registration
Name
*
First Name
Last Name
E-mail
*
Cell Phone Number
*
-
Area Code
Phone Number
Birthdate
*
/
Month
/
Day
Year
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which class(es) would you like to attend (Note: You must attend Session One prior to attending Session Two, however you CAN register for both sessions here)
SESSION ONE - Sunday, April 15th
SESSION ONE - Sunday, May 6th
SESSION TWO - Sunday, March 25th
SESSION TWO - Sunday, April 29th
Which class(es) would you like to attend? (Note: You must attend Session One prior to attending Session Two, however you CAN register for both sessions here.)
*
SESSION ONE - Sunday, September 20th
SESSION TWO - Sunday, October 4th
SESSION ONE - Sunday, November 29th
SESSION TWO - Sunday, December 13th
Are you a member of CBF? (Note: CBF Membership is NOT required to attend Discovery Classes)
*
Yes
No
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Childcare for Discovery Class
Number of children being registered for Children's Program
*
0
1
2
3
4
5
1st Child's Name
*
First Name
Last Name
1st Child's Date of Birth
*
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Month
-
Day
Year
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2nd Child's Name
*
First Name
Last Name
2nd Child's Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
3rd Child's Name
*
First Name
Last Name
3rd Child's Date of Birth
*
-
Month
-
Day
Year
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4th Child's Name
*
First Name
Last Name
4th Child's Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
5th Child's Name
*
First Name
Last Name
5th Child's Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
CHILDCARE POLICIES
CLICK
HERE
FOR CBF'S CHILDCARE POLICIES
Initial here that you have read and accept the CBF Childcare Policies
*
Comments
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