SHED Registration Form

SHED Caterpillars (Toddler Program) 24/25

"*" indicates required fields

Step 1 of 17

Child's Name*
MM slash DD slash YYYY
MM slash DD slash YYYY
Child's Home Address*

Program Information

All programs require a 30-day notice to make any schedule adjustments.
Please Select the SHED Program You're Registering For:*
#1 Parent/Guardian Name*
If not applicable please write N/A
#2 Parent/Guardian Name
If not applicable please write N/A
If not applicable please write N/A
If not applicable please write N/A