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Growing Little Founders Program Registration Form
Before registering, please verify the date availability on our website. Once we receive your registration form, we'll send an electronic invoice to secure your child’s spot in the workshop.
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* Indicates required question
Please ensure to provide the necessary information about your child.
Your Name:
*
Your answer
Requested Session:
*
Choose
Wednesdays 2:45 - 3:35 PM: January 22nd - February 26th 2025
Wednesdays 2:45 - 3:35 PM: April 9th - May 14th 2025
Child's Name:
*
Your answer
Age:
*
Your answer
Birthdate:
*
Your answer
Gender:
*
Choose
Female
Male
Home Address:
*
Your answer
Home Phone Number:
*
Your answer
Mobile Phone Number:
*
Your answer
Email Address:
*
Your answer
List of authorized individuals to pick up my child, aside from myself:
*
Your answer
Emergency Contact Name(s) and Phone Number(s):
*
If your child becomes injured or feels unwell during our workshop, the first attempt will be to contact the parents. If we are unable to reach them, we will call the emergency contact(s) listed below.
Your answer
Does your child have any ALLERGIES?
*
Yes
No
If your child has an allergic reaction, do they carry an EpiPen?
*
Yes
No
N/A
Is there anything else we need to know about your child?
*
Your answer
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