Information Sheet for Children

Child's First Name

Please enter the child's first name.

Child's Last Name

Please enter the child's last name.

Child's Age

Please select the child's age.

Child's Grade

Please select the child's grade.

Please enter the child's grade.

Child's Primary School

Please enter the child's school.

Invoice Data

Invoice First Name

Please enter the parent's first name.

Invoice Last Name

Please enter the parent's last name.

Invoice Email

Please enter a valid email address.

Address

Please enter the street address.

Postal Code

Please enter the postal code.

City

Please enter the city.

Emergency Contact 1

Name

Please enter a contact name.

Phone Number

Please enter a phone number.

Relationship to Child

Please select the relationship.

Emergency Contact 2 (optional)

Name Phone Number Relationship to Child

If you start filling Emergency Contact 2, all fields are required.

Does the child have any medication or allergies we should be aware of? Names of people allowed to pick up the child

Please list at least one authorized pickup person.

Should there be any changes with the pick-up during the day, please email info@brightfutureclubs.com before 12pm.

✅ Thank you! Your child’s information sheet has been submitted.

Child First Name

Child Last Name

Child Age

Child Grade

Child Primary School

Parent First Name

Parent Last Name

Invoice Postal Address

Emergency Contact 1 Name

Emergency Contact 1 Phone

(###)

###

####

Emergency Contact 1 Relationship

Emergency Contact 2 Name

Emergency Contact 2 Phone

(###)

###

####

Emergency Contact 2 Relationship

Child Allergies / Medication

Authorized Pick-up Names

Consent Checkbox