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AMPED
Sonrise Kids Registration
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* Indicates required question
Email
*
Your email
Child's Name:
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
Grade:
*
Choose
Pre-k
K
1st
2nd
3rd
4th
5th
Allergies or Special Needs:
*
Your answer
Parent/Guardian Name:
*
Your answer
Name of person(s) authorized to sign child in/out of Sonrise Kids:
*
Your answer
Home Phone:
*
Your answer
Emergency Contact Number:
*
Your answer
Additional Children:
*
Yes
No
Child's Name:
Your answer
Birthdate:
MM
/
DD
/
YYYY
Grade:
Choose
Pre-k
K
1st
2nd
3rd
4th
5th
Allergies or Special Needs:
Your answer
Child's Name:
Your answer
Birthdate:
MM
/
DD
/
YYYY
Grade:
Choose
Pre-k
K
1st
2nd
3rd
4th
5th
Allergies or Special Needs:
Your answer
Please list additional children below (Name, DOB, Grade, Allergies or Special Needs):
Your answer
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