Welcoming all children entering 1st grade - 5th grade in the fall. Adult check in required each morning. Please fill out a form for each child attending.

Parent Name

First Name

Last Name

Parent Email

Parent Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Grade in the fall (2025)

Child's T-Shirt Size

Special Needs / Dietary Restrictions (please list all below and confirm at check-in for highlighted sticker)

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####