Sprayberry Children's Group

REGISTRATION

Pre-Registration Form

Space is limited in all age groups, so please take the time to pre-register your child using this on-line form. Pre-registration is not a commitment to attend or a promise of acceptance.

Because enrollment is based on a first-come first-served basis, pre-registering will assist you in reserving a place for your child in their respective age group. Once your pre-registration has been submitted, you will be contacted regarding availability.

Pre-Registration does not guarantee a spot in the program.

I am pre-registering for the following:

Kids 'R' Kids

Sprayberry Academy

Camp Extravaganza

Parent Information *Required Fields

First Name *	MI	Last Name *

Additional Parent Information (Spouse/Significant Other)

First Name	MI	Last Name

Residence

Street Address *

City *	State *	Zip *

Contact Information

Home Phone *	Work Phone	Cell Phone

E-mail *

E-mail (Secondary)

Child’s Information

First Name *

Last Name *

Child’s Gender

Child’s Birthdate *

Enrollment Type *

Desired Start Date *

Second Child’s Information

First Name

Last Name

Child’s Gender

Child’s Birthdate

Enrollment Type

Desired Start Date

Additional Comments