Kidz U Summer 2018 Registration

 
 

Parent's Name (required)

Parent's Email (required)

Phone Number (required)

Child 1 Name (required)

Child 1 Age (required)

Child 1 Grade Completed - 2017-18 (required)

Course Selection
 Recycled Art Creations (Grades K-2) Recycled Material Games (Grades 3-5) Bicycle Safety and Repair (Grades 3-5) Make a Corn Hole game (Grade 5 ONLY)

Allergies (if any)

Child 2 Name

Child 2 Age

Child 2 Grade Completed - 2017-18

Course Selection
 Recycled Art Creations (Grades K-2) Recycled Material Games (Grades 3-5) Bicycle Safety and Repair (Grades 3-5) Make a Corn Hole game (Grade 5 ONLY)

Allergies (if any)

Child 3 Name

Child 3 Age

Child 3 Grade Completed - 2017-18

Course Selection
 Recycled Art Creations (Grades K-2) Recycled Material Games (Grades 3-5) Bicycle Safety and Repair (Grades 3-5) Make a Corn Hole game (Grade 5 ONLY)

Allergies (if any)

Emergency Contact (required)

Relationship to Child (required)

Phone Number (required)

Any additional information you would like to provide