Please Fill Out the Form to Register Your Child

Please enter YOUR information below

First Name *

Last Name *

Email *

Phone *

Address *

City *

State *

Postal code *

Country

(Compliance) Text Checkbox *

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Child's Full Name *

Child's Date of Birth *

Child 1 Allergies

Authorized Adult 1 Full Name

Authorized Adult 3 Phone

2nd Child's Full Name

Date of birth

Child 2 Allergies

Full Names and D.O.B of Additional Children

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