Sandwich Partnership for Families Registration Form
Please fill in the form below.
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
How did you hear about us?
Would you like to receive a reminder text for special events and registered programs?
Yes
No
If yes, please indicate the best phone number to reach you.
Child 1's Name
Child 1's Birthdate
-
Month
-
Day
Year
Date
Child 2's Name
Child 2's Birthdate
-
Month
-
Day
Year
Date
Child 3's Name
Child 3/s Birthdate
-
Month
-
Day
Year
Date
Do you have any concerns or comments about your child that you would like to share?
Yes
No
Please explain any concerns or comments.
If your child has any allergies please share.
May we use your child's photo in Discover Center materials and press releases?
Yes
No
What ethnicity is your family?
What language/s are spoken in the home?
Program Registration
Please indicate which programs you would like to register for. You will be emailed a notification with your confirmation prior to the start of each program with information. Thank you!
Please select program/s you wish to register your child for.
Yoga Jamboree with Miss Britt-Beginning 5/8 at 10am
Preschool Prep-Beginning 5/28 at 10am
Stroller Walk & Talk-Tuesdays at 10am
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