Parent/Guardian #1 Full Name * First Name Last Name Contact Number * (###) ### #### Relationship to Child * Parent/Guardian #2 Full Name First Name Last Name Contact Number (###) ### #### Relationship to Child Email * Emergency Name & Phone Number (other than parents) * Names of people authorized to pick up your child in addition to parents * Child Name * First Name Last Name Date of Birth * MM DD YYYY How old is your child? * Does your child have any allergies that we should be aware of? * Registration (Select all the date(s) to reserve your spot) * Please select which date(s) you would like to register your child(ren). Full year Sept 25, 2025 Oct 24, 2025 Nov 21, 2025 Jan 16, 2026 Jan 30, 2026 June 5, 2026 How did you hear about us? * Instagram Whatsapp/ Facebook groups XHS Referral/Others Referral (Please indicate who referred you) *only new referrals get 10% off* Additional comments/questions Thank you for your registration.! We will send an email confirmation within 48 hours. Sign Up Form
