Preschool Summer Fun Days

Child's Name*
First Last
Child's Birthdate*
MM slash DD slash YYYY
Dates my child will attend. Please check all that apply.*
- Select All
- Friday, June 12
- Friday, June 19
- Friday, July 10
- Friday, July 17
- Friday, August 14
Parent/Guardian 1 Name*
First Last
Parent/Guardian 1 Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian 1 Phone*
Parent/Guardian 1 Email
Are you a member of St. John's?*
Parent/Guardian 2 Name*
First Last
Parent/Guardian 2 Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian 2 Phone*
Parent/Guardian 2 Email
Are you a member of St. John's?*
If you have additional contact information for other family members, please list below.
First Last
Phone
The following individuals have permission to pick up my child at the day's conclusion.*
If your child has allergies or health concerns that our leaders should know about, please list here. Otherwise, type NONE.*
If your child has any special needs that our leaders should know about, so we can be better prepared with appropriate materials and extra help, please list here and a member of our education team will contact you. Otherwise, type NONE.*