Registration
Your child will learn about black history through art, music, literacy, and engaging activities. Free play and snack time are also included. Best for ages 3 1/2 to 7 years old.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Any allergies? Please list.*
We occasionally use media for promotional or educational purposes. Do you consent to a photo/video clip release? No compensation. No names used.*
 
Additional Information:
 
 
Other Questions/Comments: