Name of 1st Child Attending:
Child's Grade:
Name of 2nd Child Attending:
Child's Grade:
Name of 3rd Child Attending:
Child's Grade:
Parent's Name:
Email Address:
Phone number:
Please list any food allergies:
Session child(ren) will attend:
May 4 - Woodville
May 11 - Birchard
May 18 - Gibsonburg
May 25 - Green Springs
How did you hear about this program?:
Library
Friend
Newspaper
School
Website
Other
May 6, 2013
