Child Registration Form 2025

Please fill out this form and click submit.

Child's Name

*

Child's Birthday

*

Grade in School

Name of Onsite Accompanying Adult

*

Phone number of Onsite Adult

*

Family/ Parent Email Address

*

This address will receive a confirmation email

Child will be participating in...

*

Please select all that apply.

Childcare/ Sun. & Wed. Programming Childrens Choir/ Joyful Noise Theater/ Improv OWL Coming of Age (8th grade+) Off-Site Activity/ Trip Other - please add in comments

Any diagnoses or needs that would be important to know so we can support this child’s wellbeing? *

*

Please select all that apply.

physical health/ allergies/ medical mental health developmental behavioral none

Please elaborate on any supports or special needs of this child

Any else you would like us to know or that you would like to know!

You can pay program fees (if applicable) by entering an amount here!

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form and click submit.

Please Fix the Following

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