Brickies from the Start Interest Form  
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Please enter parent(s) name *
Please enter address, city, state and zip code *
We often send out emails about program information including online play and story times. Would you like to sign up to receive email alerts? If so, please enter your email address below
Enter email address *
We send out text message alerts with Brickies from the Start program information regarding online play and story times, special events, etc. Would you like to sign up for text message alerts? We send out approximately 3-4 a month. You are welcome to opt-out at any time by calling 219-942-7263 ext 8811 or djennette@hobart.k12.in.us
Enter Cell phone number #1 *
Enter Cell phone number #2
(Required) Please enter the names and date of birth for each child that you would like to register for Brickies from the Start.
Name and Birth Date *
Name and Birth Date
Name and Birth Date
Name and Birth Date
How did you hear about Brickies from the Start?  Choose the best option below.   *
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