Child Registration for Building Beloved Community Beyond the Binary

February 9, 2019 8:30 am - 4:30 pm | Please fill out this form and click submit.
Parent/Guardian Information

 
Please enter your email below.  Please use an email that you check regularly.  We will be sending your confirmation to that email along with other important information.
 
 
 
 
There is no charge for childcare, however there is a charge for lunch if you choose to have your child eat a lunch we are providing.  If you are bringing your child(ren) please register them below.
Child One

 
 
 
 
Please select one option.
Child 2

 
 
 
 
Please select one option.
Child 3

 
 
 
Please select one option.
 
Child 4

 
 
 
Please select one option.
 
Payment

Child care is free however we do ask that if you are able please pay for your child(ren)'s lunch.  If you will be paying at the door please enter 0 in the credit card choice and then enter your amounts in the Pay at door section.
 
Please select all that apply.
 
 
 
 
 

Description

February 9, 2019 8:30 am - 4:30 pm
Please fill out this form and click submit.