Kid City Registration

Child(ren) Information *		Order
	First Name * Last Name * Gender * Age/Grade * Birthday * Month Day Year Allergies/Special Needs	Weight for row 1

Parent/Guardian Information *		Order
	First Name * Last Name * Phone * Texting * No Yes Relationship to Child * Marital Status * Life Stage *	Weight for row 1

General Information

Address 1 *

Address 2

City *

State *

ZIP code *

Registration Kiosk