WEDNESAY Night Kid’s Club Parent 1's Information * First Name Last Name Email * Number * Parent 2's Information Name First Name Last Name Email Number Trusted Adult's Information Name First Name Last Name Number Child 1's Information Name * First Name Last Name Gender * Male Female When is their birthday? MM DD YYYY What grade are they in? * Baby Toddler Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Do they have any allergies? * Yes No What is your child's allergy? Is there anything else we should know about your child? Child 2's Information Name First Name Last Name Gender Male Female When is their birthday? MM DD YYYY What grade are they in? Baby Toddler Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Does your child have an allergy? Yes No What is your child's allergy? Is there anything else we should know about your child? Thank you for registering your kids! If you have more than two children, you can fill out your information and continue the third child’s information. You do not have to fill out Parent 2 and the trusted adult’s information again.
