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Check-In Registration
Purpose of Registration
*
First Time Visitor
Updating Information
Are you the Parent of the child you are registering?
*
Yes
No
Parent 1 First Name
Parent 1 Last Name
Phone Number
Email Address
Date of Birth
Parent 2 First Name
Parent 2 Last Name
Phone Number
Email Address
Date of Birth
Relationship to child(ren)
First Name
Last Name
Phone Number
Email
Date of Birth
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
How would you like us to update your profile?
How many children will you be registering?
1
2
3
4
5
Names of Children
Child 1 Full Name
Gender
Male
Female
Date of Birth
Current Grade Level
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Special Needs / Food Allergies / Medical Notes
Child 2 Full Name
Gender
Male
Female
Date of Birth
Current Grade Level
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Special Needs / Food Allergies / Medical Notes
Child 3 Full Name
Gender
Male
Female
Date of Birth
Current Grade Level
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Special Needs / Food Allergies / Medical Notes
Child 4 Full Name
Gender
Male
Female
Date of Birth
Current Grade Level
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Special Needs / Food Allergies / Medical Notes
Child 5 Full Name
Gender
Male
Female
Date of Birth
Current Grade Level
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Special Needs / Food Allergies / Medical Notes
Additional Notes (Custody situations, etc)