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Rochester, MN
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SUMMER WEDNESDAY MORNING REGISTRATION
Please visit our
Summer Morning Study Options page
to review studies before registering.
Please note, form answers below will not be saved until you click SUBMIT at bottom of page. Thank you.
STUDY GROUP SELECTION
*
Indicates required field
I am interested in
*
NEWCOMERS STUDY
CURRENT MEMBERS STUDY
PERSONAL INFORMATION
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
CHILD INFORMATION
We are pleased to offer childcare for ages 3 months-6 years for the summer session. Babies in arms are welcome in small group. Please list all your children who will need childcare.
First Child's Name
*
FIRST CHILD'S BIRTHDATE
*
MM-DD-YYYY
Will your first child need childcare?
*
Yes
No
If yes, please list allergies and special needs.
*
Second Child's Name
*
SECOND CHILD'S BIRTHDATE
*
MM-DD-YYYY
WILL YOUR SECOND CHILD NEED CHILDCARE?
*
YES
NO
If yes, please list allergies and special needs.
*
Third Child's Name
*
THIRD CHILD'S BIRTHDATE
*
MM-DD-YYYY
WILL YOUR THIRD CHILD NEED CHILDCARE?
*
YES
NO
If yes, please list allergies and special needs.
*
Fourth Child's Name
*
FOURTH CHILD'S BIRTHDATE
*
MM-DD-YYYY
WILL YOUR FOURTH CHILD NEED CHILDCARE?
*
YES
NO
If yes, please list allergies and special needs.
*
PLEASE LIST ANY ADDITIONAL CHILDREN NOT INCLUDED ABOVE
*
NAME, BIRTHDATE, SCHOOL AND GRADE, IF APPLICABLE, WILL THEY NEED CHILDCARE? IF YES, ALLERGIES AND SPECIAL NEEDS.
PERMISSIONS AND POLICIES
PLEASE CHECK OFF THE FOLLOWING INDICATING YOUR AGREEMENT:
*
A limited number of partial scholarships are available to help with childcare fees. If you are interested, please check (info will remain confidential), and a member of the Steering Committee will contact you.
The marketing/promotional materials mentioned below are the weekly e-blasts, event Evites, and other necessary communication from Side By Side - Rochester.
I agree to receiving marketing and promotional materials
Submit
Home
About
About Us
Rochester, MN
Contact Us
Groups
Group Information
>
Friday Mornings
Tuesday Evenings
Small Group Options
2023-2024 Calendar
Registration and Payments
Get Involved
Donate