Event Registration

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PCS Meeting Childcare - Non-PCS Students/Younger Siblings on Monday, January 28, 2019 @ 6:30 PM

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At the top of this form, please enter the CHILD'S NAME and parent's email address and phone number.

If you have more than one child to register, please select "Register Another Person" on the next page.



112.00 
115.00 
*Child's Birthday
*Child's Age
*Is the child in Kindergarten or older?:
If child has ALLERGIES, please describe (food, ingestion, outdoors, insects, medications)
If child has PHYSICAL CHALLENGES, please describe
If child has OTHER NEEDS, please describe
*Child's Toilet Training Status
*Child's Walking Status
*Child's Gender
*Parent Full Name
*Parent Cell Phone: