Student's First and Last Name:
Parent/Guardian Full Name:
Street Address
School Attending in Fall Choose OneHenry BarnardEnfield Street SchoolHazardville MemorialDo not know
Number of adults attending the event 1234
Number of children needing childcare during the event: 01234
(Control click or command click for multiple selections)
Age(s) of children needing childcare during event: NoneLess than 1 year1 - 2 years2 - 3 years3 - 4 years5 - 6 years7 or more years
Optional - Your email address: