EATON FIRST KIDS: Wednesday Night Registration

Wednesdays | 6:00-7:30 | Fill out this form and click submit to register your child for Eaton First Kids Wednesday Nights.

Child Info

Name

*

Date of Birth

*

Age

*

Please select one option.

2 3 4 5 6 7 8 9 10 11 12 13

Grade

*

Please select one option.

Pre-K Kindergarten 1st 2nd 3rd 4th 5th 6th

Any allergies or other special needs?

Parent/Guardian Contact

Name(s)

*

Relationship to Child

*

Address

Email

*

This address will receive a confirmation email

Phone

*

Other Contacts

Other emergency contacts:

Other adults with permission to pick up your child:

Description

Wednesdays | 6:00-7:30

Fill out this form and click submit to register your child for Eaton First Kids Wednesday Nights.

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