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Child's First Name
Child's Last Name
Age
5
6
7
8
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10
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12
What grade is your child going into this coming school year?
What is your Home address?
Parent/Legal Guardian's First Name
Parent/Legal Guardian's Last Name
Parent/Legal Guardian's E-mail
Parent/Legal Guardian's Phone Number
Any medical information we need to know? (i.e. Known food allergies? Medical conditions? Diet and Nutrition?)
Can your child be photographed?
Yes
No
Do you give permission for us to post pictures of your child on social media for promotional purposes?
Yes
No
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