Criterion Child Enrichment

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Welcome Family

Welcome Family Registration Form

Please complete the following information to register for Welcome Family:



Fields marked with * are required.
 
 
 
calendar
 
Relationship to Baby 
 
 
 
Baby Gender 
 
 
calendar
 

If multiple births, please enter the following:
 
 
 
 
Baby Gender 
 
 
calendar
 

 
 
 
 
 
 
 
 
 
 
 
 
Ethnicity 
 
Race 
 
Preferred Language 
 
 
 
Do you need an interpreter? 
 
How did you hear about us? 
 
 
 

Please enter the following security code:
...

 

Where Creativity Comes To Play