2025-26 NURSERY Registration

Name of Child 1

Date of Birth-Child 1

Name of Child 2

Date of Birth-Child 2

Name of Child 3

Date of Birth-Child 3

Name of Child 4

Date of Birth-Child 4

Dietary or special concerns

Preferred Medical Facility

Authorized Pickup Info.

Name of Parent

This address will receive a confirmation email

Phone

Address

Please print out and complete the Participation & Photo Release Forms and bring to the first gathering. Thank-you!

You only need to fill these two forms out once for the year.
PARTICIPATION AGREEMENT and PHOTO RELEASE FORM

Description

Wed., 6:30 - 7:45 PM

Registration Form
NURSERY (Birth - Age 3)