Kids Pre-Registration (Nursery- Grade 5)

Please fill out this form and click submit. This form will pre-register your child for GLO KIDS on the date you specified.

See you soon!

Parent Information

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

what date are you planning to visit?

*

Spouse Information

Spouse Name (First & Last)

Spouse Phone

Additional Information (allergies, custody, disability, questions, etc.

*

Children's Information

Child 1 First & Last Name

*

Child 1 Birthdate

*

Child 1 Grade

*

Please select one option.

Nursery/Toddler Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child 1 Potty Trained?

*

Please select one option.

Yes No

Child 2 First & Last Name

Child 2 Birthdate

Child 2 Grade

Please select one option.

Nursery/Toddler Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child 2 Potty Trained?

Please select one option.

Yes No

Child 3 First & Last Name

Child 3 Birthdate

Child 3 Grade

Please select one option.

Nursery/Toddler Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child 3 Potty Trained?

Please select one option.

Yes No

Child 4 First & Last Name

Child 4 Birthdate

Child 4 Grade

Please select one option.

Nursery/Toddler Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Child 4 Potty Trained?

Please select one option.

Yes No

Description

Please fill out this form and click submit. This form will pre-register your child for GLO KIDS on the date you specified.

See you soon!

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