CHILD PRE-REGISTRATION

Simplify your first visit by pre-registering your child online before you arrive! Complete the form below for any of your children 6wks-4th grade who will be joining us in Comeback Kids! Please register by 9pm the night before the service to make sure your information is processed for the service.

Your Name

First Name

Last Name

Your Relationship to Child

Your Email

Your Cell Phone Number

Other Parents Name

First Name

Last Name

1st Child Information

First Name

Last Name

1st Child Birthday (mm/dd/yy)

1st Child Grade

Any Allergies or Special Conditions?

2nd Child Information

First Name

Last Name

2nd Child Birthday (mm/dd/yy)

2nd Child Grade

Any Allergies or Special Conditions?

3rd Child Information

First Name

Last Name

3rd Child Birthday (mm/dd/yy)

3rd Child Grade

Any Allergies or Special Conditions?

4th Child Information

First Name

Last Name

4th Child Birthday (mm/dd/yy)

4th Child Grade

Any Allergies or Special Conditions

For Additional Children, Please Place Their Information Here