ReKids PRE-REGISTRATION

Welcome to ReKids! please note that childs 2-3 are optional and not required. If you have more than 3 children, fill out the first three in the spaces provided and include the other children in the Special Notes section. See you soon!

Parents Name *
Parents Name
Mobile Phone *
Mobile Phone
Address *
Address
Child 1 *
Child 1
Birthdate *
Birthdate
If none, answer "NONE"
Child 2
Child 2
Birthdate
Birthdate
If none, answer "NONE"
Child 3
Child 3
Birthdate
Birthdate
If none, answer "NONE"