Glory Kids First-time Guest

New Family Check-In

Parent/Guardian #1 Name

First Name

Last Name

Parent #1 Email

Parent #1 Phone

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Parent/Guardian #2 Name

Fill out if applicable

First Name

Last Name

Parent #2 Email

Fill out if applicable

Parent #2 Phone

Fill out if applicable

(###)

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Child Information

Please provide the needed information for all children in your household.

Child's Full Name / Birthday / Gender (M/F) / Allergies or Special Needs

Please separate each child in your household by a paragraph break.