Child Group Selection Form
Please complete this Child Group Selection Form to help us place your child in the most suitable group.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Preferred Group
*
Please Select
Arts & Crafts
Sports & Games
Music & Dance
Science & Discovery
Drama & Performance
Other
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Previous Group Experience
*
Yes
No
Child's Interests (select all that apply)
*
Art
Sports
Music
Science
Drama
Other
Preferred Session Time
*
Please Select
Morning
Afternoon
Evening
No Preference
Additional Comments (optional)
How did you hear about the group?
*
Please Select
Friend/Family
School
Flyer/Poster
Online Search
Social Media
Other
Submit
Should be Empty: