Sidekicks Registration

Please fill out the form completely

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Name *

First

Last

Grade *

Age *

Please List Any Sensory Issues Your Child May Have. *

Name *

First

Last

What Do You Do to Help Your Child When He/She Gets Upset? *

Relationship *

Does Your Child Have Any Special Feeding Instructions? *

Phone Number *

Siblings Attending (Please list names and ages) *

Allergies *

Please List Any Physical Limitations Your Child May Have *

Are There Any Medical Concerns We Should Be Aware Of? *

Additional Comments Not Listed Above *

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