Register Your ChildParent or GuardianContact InfoFirst Name *Last Name *Email Address *Phone *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweRegister a Child1 - Name, Age, Birthdate, EmailFirst Name *Last Name *Age *Birthdate *(enter year, month then date)Email AddressWhat are you registering this child for?AfterschoolHoliday CampIs this child allowed to walk home alone? *YesNo2 - Additional ChildName, Age and BirthdateFirst NameLast NameAgeBirthdate(enter year, month then date)Email AddressWhat are you registering this child for?AfterschoolHoliday CampIs this child allowed to walk home alone?YesNo3 - Additional ChildName, Age and BirthdateFirst NameLast NameAgeBirthdate(enter year, month then date)Email AddressWhat are you registering this child for?AfterschoolHoliday CampIs this child allowed to walk home alone?YesNoEmergency ContactFirst Name *Last Name *Phone *Pick Up AuthorizationList all names and relationship *Please Read These Instructions CarefullyIMPORTANT The address is 338 E. 5th St, Suite 2B - top right buzzer (above Angelica's around the side entrance). Please be here no later than 3:25 pm to drop your kids off. Please be here to pick your kids up right at 5:30. Please remember to send your kids with masks, water bottles, and a sweatshirt. If your child does bring a snack, we are a nut-free facility. PICKUPS Please let me know who will be picking your kid up, OR if they will be walking themselves. I will not be able to dismiss your child to anyone who is not on the list I have - Either parent or emergency contact. Please bear with me as I will ask to see your ID at dismissal if I don't know you yet. This is for all of our safety. Thanks! Please make sure to bring your ID for pickup! PHOTOS I use photos for my social media. It helps me to continue to build my business to have pics of kids making stuff and showing their finished work. I take and post lots of photos. If this is of major concern to you, please let me know. COVID If anyone in your family or friend circle or anyone you have been spending time with comes down with Covid, I need to know right away. If this happens, I will take measures to follow the guidelines set forth by the health department. MAKEUPS Each student can do one makeup class per session. Makeups will happen on a weekend at the end of the session.I acknowledge, I have read and agree to these instructions *YesNoSend Message
