the Sprout Patch
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Sprout Patch Registration

Before visiting The Orchard and The Sprout Patch, you are welcome to complete and submit the information form below, so that we will be ready to greet you and your child when you arrive. Once you have returned a completed form and arrive at The Sprout Patch, a digital photo of you and your child will be taken and a family identification card will be issued. You will need this card each time you check-in AND check-out your child from their class. If you need assistance, please see a volunteer at The Sprout Patch Registration Area. We look forward to your visit!!

* Parent/Guardian Name #1
* Relationship to Child
* Address
* City
* State
* Zipcode
* Phone
* Email

Parent/Guardian Name #2
#2 Relationship to Child
#2 Address (if different from above)
#2 City
#2 State
#2 Zip Code
#2 Phone
#2 Email

* Childs full name
* M/F
* Birthdate MM/DD/YY
* Current Age
 


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