Registration – Red Sun

CHILD'S FULL NAME*
First Middle Last
MAIN LANGUAGE
BIRTH DATE*
AGE*
SEX*
PARENT/GUARDIAN'S INFORMATION
PARENT/GUARDIAN'S FULL NAME*
First Last
ADDRESS*
Street Address Address Line 2 City State ZIP Code
EMAIL ADDRESS*
PHONE NUMBER*
PERSON TO CONTACT IN CASE OF EMERGENCY IF PARENT/GUARDIAN CANNOT BE REACHED
FULL NAME*
First Last
ADDRESS*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
HEALTH INFORMATION
NAME OF CHILD'S DOCTOR*
First Last
PHONE NUMBER*
HOSPITAL PREFERENCE*
PLEASE LIST DOWN ANY ALLERGIES OR DIETARY RESTRICTIONS OF THE CHILD*
ADDITIONAL INFORMATION

PARENT/GUARDIAN'S INFORMATION