Registration – Nelipots in Nature

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Registration Form

First Name *

Last Name *

Email Address *

Phone *

Street Address *

Apartment, suite, etc *

City *

State/Province *

ZIP / Postal Code *

Country *

Choose Membership Type *

How many Children you wish to enroll *

Child Information

Name *

Date of Birth *

What class do you want to enroll your child in? *Mini NelisPre SchoolKindergarden

Emergency Contact Name *

Emergency Contact Number *

Minor is: *LeftyRighty

Any allergies or medical conditions we need to be aware of? *

Can we take images of your Child/Children for our marketing purpose?YesNo

Yes, I agree with the Code 0f Conduct

Yes, I agree with the Photo Video Release

Yes, I agree with the Liability Waiver

Yes, I agree with the Confidentiality Agreement

Yes, I agree with the Emergency Procedures

Yes, I agree with the Voting Policy

Yes, I agree with the Board Member Commitment

Yes, I agree with the Non-Complete Agreement

Yes, I agree with the By-Laws

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Contact

(832) 572-6883
nelipotsinnature@gmail.com
San Antonio, TX