You can register up to two children with each submission
Child's Name (last name first)
Child's age
Child is entering grade
—Please choose an option—PreschoolK1st2nd3rd4th5th
Allergies (if any)
—Please choose an option—PreschoolK1st2nd3rd4th5th6th
Allergies if any
Parent's Name (last name first)
Your Email (required)
Phone Number (required)
Emergency Contact Name and phone (in case you can not be reached)
Alternate Emergency Contact Name and Phone
Who will be picking the child up? (please provide all names)
Church affiliation
St. ThomasOtherNone
Any additional information you would like to provide