View fullsize We are excited to meet you! Child's Name First Name Last Name Parent's Name(s) * First Name Last Name Email * Secondary Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Child's Preferred Contact Number * (###) ### #### Parent's Preferred Contact Number * (###) ### #### Child's Age * Child's Grade Level * Child’s Interests/Hobbies * Meeting Day Preference * Week Day Weekend Thank you!
