MBC Kids 2023-2024

Parent 1 Name

Parent 1 Email

This address will receive a confirmation email

Parent 1 Phone

Phone Type

Cell Home

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Phone

Phone Type Cell Home

Address

Emergency Contact

Emergency Contact Phone

Individual Authorized to Pick Up Child (if different than names listed above)

I would like to start receiving the MBC Parenting Newsletter at the email addresses listed above.

Yes No

Child 1 Information

Name

Gender

Male Female

Date of Birth

Allergies

Preferences (not an allergy, but a care or food preference you would like to share with us for your child)

T-shirt Size My child's t-shirt from last year still fits - we don't need a new one. YXS YS YM YL YXL

Child 2 Information

Name

Gender Male Female

Date of Birth

Allergies

Preferences (not an allergy, but a care or food preference you would like to share with us for your child)

T-shirt Size My child's t-shirt from last year still fits - we don't need a new one. YXS YS YM YL YXL

Child 3 Information

Name

Gender Male Female

Date of Birth

Allergies

Preferences (not an allergy, but a care or food preference you would like to share with us for your child)

T-shirt Size My child's t-shirt from last year still fits - we don't need a new one. YXS YS YM YL YXL

Child 4 Information

Name

Gender Male Female

Date of Birth

Allergies

Preferences (not an allergy, but a care or food preference you would like to share with us for your child)

T-shirt Size My child's t-shirt from last year still fits - we don't need a new one. YXS YS YM YL YXL

Child 5 Information

Name

Gender Male Female

Date of Birth

Allergies

Preferences (not an allergy, but a care or food preference you would like to share with us for your child)

T-shirt Size My child's t-shirt from last year still fits - we don't need a new one. YXS YS YM YL YXL

Description

Please fill out this form and click submit. We will have a fall kick-off party for MBC Kids! on Wednesday, August 30 from 6:30-8:30 p.m. and then will start our regular Wednesday night program on September 6, at 7:00 p.m. Thank you for allowing your child(ren) to join us!

MBC Kids 2023-2024

Description

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