Pointe Kids Registration
Welcome to Pointe Kids! With the information below we will be able to get you and your family in our system for electronic check-in. 

For all children ages 18 months - 6th gradeContact us at (734) 721-7410 or pointekids@cpccwayne.org
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Email *
Household Adult #1 First & Last Name *
Email *
Cell Phone # *
Address *
Household Adult #2 First & Last Name *
Email *
Cell Phone # *
How did you hear about us?
Alternate Adults who may check-in or pick-up child(ren). Must include name and cell phone number for each adult.
Child #1 First & Last Name *
Child's date of birth *
MM
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DD
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YYYY
Gender
Clear selection
Grade *
Address (if different than listed above)
Allergies *
Medical Concerns *
Special instructions
Child # 2 First & Last Name
Child's date of birth
MM
/
DD
/
YYYY
Gender
Clear selection
Grade
Address (if different than listed above)
Allergies
Medical Concerns
Special instructions
Child # 3 First & Last Name
Child's date of birth
MM
/
DD
/
YYYY
Gender
Clear selection
Grade
Address (if different than listed above)
Allergies
Medical Concerns
Special instructions
Comments
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