SOUTHBORO KINDERGROUP REGISTRATION FORM
Parents Name:
Address:
Phone (home): Phone (other):
e-mail:
Child #1 First Name: DOB:
Child #2 First Name: DOB:
Child #3 First Name: DOB:
Child #4 First Name: DOB:
Please indicate the days on which you are able to participate by circling “yes” or “no”.
MONDAY Yes No
TUESDAY Yes No
WEDNESDAY Yes No
THURSDAY Yes No
FRIDAY Yes No
Special Requests or Needs:
Comments:
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Please copy and paste this form to a "Word" document and email to: janhendu@kindergroup.com