TSBC Totally Terrific Thursday!

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電子郵件 *

What is your street address? *

What is your zip code? *

Do we have permission to photograph and share on social media<

Yes

Parent or Guardian's Names *

Phone number(s) where parent or guardian can be reached? *

If a guardian cannot be reached who should we contact. Please provide number and identify relationship. *

Who is authorized to pick child(ren) up? *

Name of Child #1 *

Date of Birth Child #1 *

YYYY

What grade did Child #1 just complete? *

Does Child #1 have any allergies (including food) or physical condition, defects or medications that limit the ability to share in any activity. If so please list. (If you are not enrolling any other children, skip to last question *

If you are not registering any more children, jump to the last question.

Name of Child #2

Date of Birth Child #2

YYYY

What grade did Child #2 just complete?

Does Child #2 have any allergies (including food) or physical condition, defects or medications that limit the ability to share in any activity. If so please list.

Name of Child #3

Birthdate of Child #3

YYYY

Last grade completed by Child #3

Does Child #3 have any allergies (including food) or physical condition, defects or medications that limit the ability to share in any activity. If so please list.

Name of Child #4

Birthdate of Child #4

YYYY

Last Grade Completed by Child #4

Does Child #4 have any allergies (including food) or physical condition, defects or medications that limit the ability to share in any activity. If so please list.

Limited bus pick up may be available. If it is available, do you need this option?

Yes

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