Kids at the Shores Guest Registration

Welcome to Kids at the Shores! We're excited you're here! Please fill out this form and click submit.

Parent 1 Name

*

Phone

*

Email

*

This address will receive a confirmation email

Parent 2 Name

Parent 2 Phone

Parent 2 Email

Address

Child 1

Name

*

Birthdate

*

Class

*

Please select one option.

Nursery:6 weeks- potty trained Preschool: Must be potty trained Elementary: K5-5th Grade

Any Allergies?

Medical Condition

Child 2

Name

Birthdate

Class

Please select one option.

Nursery: 6 weeks-potty trained Preschool: Must be potty trained Elementary: K5-5th Grade

Any allergies?

Medical Condition

Child 3

Name

Birthdate

Class

Please select one option.

Nursery: 6 weeks-potty trained Preschool: must be potty trained Elementary: K5- 5th Grade

Any allergies?

Medical Condition

Child 4

Name

Birthdate

Class

Please select one option.

Nursery: 6 weeks-potty trained Preschool: Must be potty trained Elementary: K5-5th Grade

Any allergies?

Medical Condition

Child 5

Name

Birthdate

Class

Please select one option.

Nursery: 6 week- potty trained Preschool: Must be potty trained Elementary: K5-5th Grade

Any allergies?

Medical Condition

Description

Welcome to Kids at the Shores! We're excited you're here! Please fill out this form and click submit.

Please Fix the Following

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