Family Registration

Parent/Guardian #1

Name

Cell Phone

This address will receive a confirmation email

Address

Relationship to Child(ren)

Parent Guardian #2

Name

Cell Phone

Relationship to Child(ren)

Child Information

Child #1 Name

Birthdate

Grade

Gender

Boy Girl

Allergies or other important information we should know.

Child #2 Name

Birthdate

Grade

Gender Boy Girl

Allergies or other important information we should know.

Child #3 Name

Birthdate

Grade

Gender Boy Girl Option

Allergies or other important information we should know.

Other Information

Please let us know anything else you feel our team should know about your kid(s) so we can make sure they have an awesome time while visiting Nicholson Kids.

Description

We're excited to meet you! Tell us a little bit about your family to
help make your Nicholson Kids check-in as smooth as possible. See you soon!

Family Registration

Description

Please Fix the Following