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



Home Phone

Dad's work/cell phone

Mom's work/cell phone

Emergency Contact Person

Emergency Contact Phone Number


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?