Child's Name *
Child's Name
Parent Name *
Parent Name
Phone *
Phone
Parent's Phone
Parent/Additional Contact for Emergency *
Parent/Additional Contact for Emergency
Parent/Additional Contact Phone *
Parent/Additional Contact Phone
What grade did your child COMPLETE this spring?
What are the names and ages of siblings attending?
Does your child have any allergies or other concerns we need to be aware of?
If you child has a friend whom they should be placed with, please list that friend's name here.