CREW 2022-23 Registration

* Child First Name

* Child Last Name

* Age:

* Grade (as of Fall 2022)

* Child Birth Date

Friend of (if applicable):

Behavioral Information for child attending

* Parent/Guardian #1: (First & Last Name)

* Parent/Guardian #1: Phone Number

* Parent/Guardian #1: Email

* Parent/Guardian #2: (First & Last Name)

* Parent/Guardian #2: Phone Number

* Parent/Guardian #2: Email

Please click here if you DON'T want your child's picture used in promotional materials.