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Welcome to The Strawberry Patch Kids!

Thank you for taking a few moments to complete the following form.

♡ Miss Nik

Child Information

Child's Name:

Date Of Birth:

Preferred name/nickname:

Does your child have any allergies or medical conditions that you would like me to know about?

ANY INFORMATION SHARED IS CONFIDENTIAL.

Does your child have any sensory, behavioral, developmental, etc. concerns that you would like to share?

ANY INFORMATION SHARED IS CONFIDENTIAL.

Tell me a bit them! What brings your kiddo(s) joy? What makes them feel frustrated? Are there any interests, sensitivities, routines, relevant info, etc. that you'd like me to know before we play together?:

Caregiver Information

Caregiver Name:

Relationship To Child:

Parent/Legal Guardian

Family Member/Friend

Caregiver (nanny, babysitter, nurse, etc.)

Email Address:

Phone Number:

Emergency Contact Name (required for Wonder Walk registrations):

Emergency Contact Number (required for Wonder Walk registrations):

Class & Payment Selections

Which class/program are you registering for?

Which date are you registering for? 5-Class Pass registrants - please select the date of the first class your family plans to attend.

How would you like to join?

Single Class Pass $35 - a great way to come in and play!

5-Class Pass $150 - super flexible option for busy families planning to visit often!

Wonder Walk Pass $25 - both Saturday and Sunday morning options available for weekend flexibility!

How would you like to receive your Square payment link?

Text message

Permissions, Policies, & Next Steps

May photos of your child be used for social media and/or other marketing for The Strawberry Patch Kids?

Please check the boxes in acknowledgement of the following policies:

I understand that caregiver participation is required and part of The Strawberry Patch Kids program philosophy.

I understand that registration is not complete until payment has been received.

I understand that refunds are not guaranteed, though class credits will always be issued when possible.

Within 24 hours of registration submission, you will receive a confirmation email as well as a Square payment link via the contact method selected above.

Thank you so much and welcome to The Strawberry Patch Kids!

♡ Miss Nik