Registration page – TUFF KIDS

TUFF KIDS Registration

Parent Name *

First

Last

Email *

Cell Phone *

Home Phone *

Work Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Child's name *

First

Last

Child's age *

Child's birth day *

Emergency Contact (other that parent) *

Emergency contact # *

Authorized pick up *

Are the children permitted to walk home? *

Health conditions *

Please list all known health conditions

Child name 2

First

Last

Child 2's age

Child's birthday

Health conditions

Please list all known health conditions

Child 3 name

First

Last

Child 3 age

Child's birthday

Child 3 health conditions

Please list all known health conditions

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