Sherwood Cubs Registration Form – Sherwood Park Hall

Parent Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

FabKid 1 *

First

Last

FabKid 2

First

Last

Date of Birth Cub 1 *

Date of Birth Cub 2

Gender FabKid 1

Gender Fabkid 2

Cub's Doctor's Name *

First

Last

FabKid's Doctor's Phone Number *

Emergency Contact *

First

Last

Emergency Contact Number *

Preferred Start Date *

Date

Time

Please Check what clubs you will attend *

Is anyone besides you allowed to pick up your child? *

Please list who can pick up your child, they will need ID on the day:

Please let us know about any behavioral concerns:

Please let us know about any medical concerns: *

Please let us know about any allergies: *