18124 Wedge Pkwy. #179 Reno, Nevada 89511 ◦ Enrollment Registration Student Information Student Name: Mailing Address: Gender: Date of Birth: Parent/Guardian Information Contacts Persons who may be contacted and we are authorized to release your child to. . A PICTURE I.D. IS REQUIRED! Name: Phone: Name: Phone: Name: Phone: Name: Phone:
18124 Wedge Pkwy. #179 ◦ Reno, Nevada 89511 Enrollment Registration Student Information Student Name: Mailing Address: Date of Birth: Gender: Parent/Guardian Information Contacts Persons who may be contacted and we are authorized to release your child to. . A PICTURE I.D. IS REQUIRED! Name: Phone: Name: Phone: Name: Phone: Name: Phone:
the-kids-zone-enrollment.docx