Registration

Parent or Guardian Name*

Email*

Phone*

Address*

Emergency contact Name and phone number*

Will your child be arriving at 5pm for dinner?

Will your child require bus transportation? You must live in the city limits!

Please let us know of any food allergies

Would you like communication via text or email?

I understand that staff are all volunteers and not trained to assist children with special needs. Parent MUST attend if child needs extra assistance*

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