Biggs Kids and Mini-Masters Registration Form
Program *
Biggs Kids
Mini-Masters
First Name of Parent
Last Name of Parent*
First Name and Last Name of
Child 1 *
Age *
First Name
and Last Name
of
Child 2
Age
First Name
and Last Name
of
Child 3
Age
Which month/program would you like to register for? *
January
February
March
April
May
June
July
August
September
October
November
December
Street Address *
City *
State *
ZIP *
Phone *
E-mail *
* = indicates required fields
Private Krankenversicherung
