WELCOME TO KID’VENTURE EARLY REGISTRATIONDATES: June 24 - 28TIME: 6:00 PM - 8:00 PMAGES ALLOWED: 3 yrs - 12 yrs old PARENT INFORMATION * Please provide us with your personal contact information prior to registering your child/children! First Name Last Name Email * Phone * (###) ### #### How many children are you registering today? * 1 2 3 4+ Listen the child/children you are registering in order of AGE, please provide their full name, gender, and age, separate each child with parenthesis () * For Example: (Tim Jones, 4, boy) (Jessica Jones, 6, girl) etc. Does your child/children have any food allergies or dietary needs? * YES NO Food Allergies and Dietary Needs (IF ANSWERED NO TO PREVIOS QUESTION SKIP) Please provide us the name of the child and what is their specific allergy or dietary need. Separate children with parenthesis () Does your child/children have any physical disabilities or needs * YES NO Physical Disablity or Need (IF ANSWERED NO TO PREVIOS QUESTION SKIP) Please provide us the name of the child and what is their specific disability or need. Separate children with parenthesis () Is there anything else we need to know about your child/children that may be a concern? Thank you for registering your child/children for our KIDVENTURE WEEK. We will contact you if we have any questions regarding the information you provided.