Family Registration Form

Family Pre-Registration

Visit Information

Campus

Planned Visit Date

Children

First Child

Relationship to Adult

Child

First Name

Last Name

Gender

Birth Date

//

Grade

Photo/Video Permission

Allowed

Uses an Epi-pen

Allergy List

Photo Permission Granted (toMerge)

Primary Language

School

Foster or Adoptive Child

Adult Information

First Adult

First Name

Last Name

Gender

Birth Date

//

Marital Status

Mobile Phone

Check this box to allow SMS communication.

Email

Communication Preference

EmailSMS

Second Adult

First Name

Last Name

Gender

Birth Date

//

Marital Status

Mobile Phone

Check this box to allow SMS communication.

Email

Communication Preference

EmailSMS

Address

United States

TX