Kid~Space Email Us! After School Programs Sochin Karate The Party Place
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After School Registration

Please use the following form to register. Once you have submitted the application, you will be contacted by a Kid Space representative.

Fields in RED are required.

Child’s Information

Parent/ Guardian Contact Information

Secondary Emergency Contact Information

Additional Emergency Contact Information

Allergies / Medical Conditions

Release for Pick Up

Please name up to 3 people in addition to you or your spouse who may sign out your child from our center without prior written permission. These individuals will be allowed to remove your child from our care without contact from you, after showing a valid driver’s license.

Please notify the Director in writing of any persons who are to have no contact with your child. Please include a copy of any No Contact Order per any court decision. This includes custody disputes.


By clicking "Submit Form" below, you state that you have read and agree to the rules and conditions outlined in the:

Kid Space Policies and Procedures.


 

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