Register Your Child for Children in Action Child's Name * One child per registration form, please! First Name Last Name Parent's Name * First Name Last Name Parent's Email * Parent's Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Child's Birthday * MM DD YYYY Child's Grade * 1st 2nd 3rd 4th 5th 6th Thank you!
