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SunGate Garden Parent Circle Registration Form
This is the registration form for the SunGate Garden Parent Circle. The form can be filled out below. You can save your progress at any time and finish it later. The completed form will be automatically emailed to SunGate Educational Community.
"
*
" indicates required fields
Child's Name
*
Include Nicknames
Last
Child's Date of Birth
*
Month
Day
Year
Parent#1 Name
*
Include Nicknames
Last
Parent#1 Email address
*
A copy of this form will be emailed to this address
Enter Email
Confirm Email
Parent #1 Phone Number
*
Parent#2 Name
Include Nicknames
Last
Parent#2 Email address
A copy of this form will be emailed to this address
Enter Email
Confirm Email
Parent #2 Phone Number
Emergency Contact Name
*
Include Nicknames
Last
Emergency Contact Phone Number
*
Does your child have any known allergies?
*
Yes
No
Please explain your child's allergies.
Does your child use an inhaler, EPI-pen, or other emergency items?
*
Yes
No
Please explain what would cause your child to require those emergency items such as an inhaler or EPI-pen.
Does your child have any dietary restrictions?
*
Yes
No
Please list your child's dietary restrictions.
Please provide any additional information you would like us to know.
Consent
*
I agree that the person(s) completing this form is/are legally able to make decisions regarding this child’s participation in Sungate Garden Circle.
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.
Reach Out For More
(484) 792 -1445
1193 Clover Mill Road, Chester Springs, PA 19425
SunGateProgram@gmail.com
SunGate Educational Community is a Pennsylvania State Nonprofit Corporation
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