Kids Kare

Registration Deadline: October 04, 2018

Let us know who will be attending.

Add someone

Main Contact Info

 
 
 
 
 
 
 

Additional Info

Gender (M or F) of each child

Age and Birthdate of each child

Parent/Guardian

Email

Home Phone

Dad's work/cell phone

Mom's work/cell phone

Emergency Contact Person

Emergency Contact Phone Number

Allergies?

If your child has food allergies, we ask that you bring them a snack each week.

Is your child/children potty-trained?

If no, you must stay at Kids Kare with your child.

Church (optional)

These people (include phone numbers) are allowed to pick up my child if I'm not available:

Yes, my child may be photographed for local newsletters, but will not be identified by name.

Any other information or special instructions you think we might need?