Pre-Registration Questionairre 

Below you will find the small marvels 2018 Registration Form. In order for your child to attend small marvels, this information must be filled out and submitted. If you would like to fill out a physical version of this form, you can download that here.

Child's Information
Child's Name
Child's Name
Child's Date of Birth *
Child's Date of Birth
Mother/Guardian #1 Information
Name *
Name
Phone *
Phone
Work Phone *
Work Phone
Address *
Address
Father's / Guardian #2 Information
Father's / Guardian 2 Name
Father's / Guardian 2 Name
Father's / Guardian 2 Phone
Father's / Guardian 2 Phone
Work Phone
Work Phone
Address
Address
If same as Mother/Guardian #1 Address, please leave blank.
Emergency Contact's Information
Emergency Contact's Name *
Emergency Contact's Name
If either guardians can’t be reached this contact will be called
Emergency Contact's Phone *
Emergency Contact's Phone
Insurance Information
If an emergency should occur, we will go to Banner, UMC unless otherwise indicated.
Tell Us About Your Child