Salt Kids Pre-Registration

Child Details

First Name *

Preferred Name

Tip: If different to 'First Name'

Last Name *

Gender *

Date of Birth *

School/Pre-School

School Year *

Learning/Allergies/Medical/Behavioral/Social needs

Tip: e.g autism, dairy allergy, sensitive to loud noise etc

Special custodial arrangements

Authorized to collect child *

Tip: Adults authorized to collect your child (include all primary caregivers)

Parent/Caregiver Details

Name *

Tip: Parent/Caregiver's name

Cell Number *

Email Address *

Tip: Please provide the caregiver's email, not child's

Salt Kids Photography Policy:

As part of our Salt Kids program we may take photos of our events and activities. These photos may be posted on our Salt Kids online media. Children's names will not be linked to photos without verbal parental consent.

I have read and understood the photography policy *

Yes