February 22nd Legacy Kids Super Saturday Registration Form

Your Name (not child's)

This address will receive a confirmation email

Phone

Address

Family Info

Foster Adoptive Kinship Guardianship

Name of agency you adopted or foster through Ex: DHS, Family for Life, Circle of Care, etc.

Please provide the following information for all children that will be attending. Please include their FIRST and LAST name. If your child has a food allergy or special needs, please provide that information under Special Instructions. Thank You!

Child's Full Name

Birthdate

Grade