Promise Kids Parent Registration
This form is for parent/guardian information.
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Add Another Person
if you are including a spouse or alternate guardian.
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to register children
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Parent/Guardian
First Name
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Parent/Guardian
Last Name
*
Parent/Guardian
Mobile Phone
*
Parent/Guardian
Email
*
Parent/Guardian
Address
Parent/Guardian
Address 2 (Apt/Suite # etc.)
*
Parent/Guardian
City
*
Parent/Guardian
State/Province
*
Parent/Guardian
Zip/Postal Code
Parent/Guardian
Age Category
Select one
Unknown
Born in the 20's
Born in the 10's
Born in the 00's
Born in the 90's
Born in the 80's
Born in the 70's
Born in the 60's
Born in the 50's
Born in the 40's
Born before 1940
Parent/Guardian
Gender
Female
Male
Parent/Guardian
Marital Status
Select one
Single
Married
Divorced
Separated
Widowed
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