KID K-MOTION REGISTRATION
Age:
2
3
4
5
6
7
8
9
10
11
12
Grade:
Pre-K
Kindergarden
1st
2nd
3rd
4th
5th
6th
Address
Mother:
Father:
Other:
Allergies (including food) or other medical conditions:
Names of people allowed to pick your child up each Wednesday:
NOTE: We will be using images from Kid K-Motion and The Edge on our website and Facebook. If you wish to NOT have your child's picture included, please check the box below.
I do NOT want photos of my child included
SUBMIT
Success! Your registration has been received.