NURSERY Registration (Birth-Age 3)

Name of Child 1

Age of Child 1

Name of Child 2

Age of Child 2

Name of Child 3

Age of Child 3

Dietary or special concerns

Name of Parent

This address will receive a confirmation email

Phone

Address

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

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

Description

Wed., 6:30 -7:45 PM and/or Sundays

Registration Form
NURSERY
(Birth - Age 3)