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Congratulations
You are taking the first step to enroll your child at The Toto Station, the premium, ultimate, indoor entertainment play center & after school activity hub for children ages 6 months to 10 years of age. The Toto Station is a Jungle of Knowledge PACKED with FUN activities where your child can play, imagine and delight themselves! This form is to be completed by the parent(s) or guardian who will be in charge of the child. In the event of any change in address or telephone numbers, please advise the staff or management in writing, and we will update your records. You can change this information at any time.
First Parent
Parent Title:
Mrs
Mr
Miss
Dr
Parent First Name:
Parent Last Name:
Drivers License:
(we require this information for identity purposes and for the safety of your child)
Password:
(please choose a password you can remember, which will be used in the event you forget your membership access card and/or during an emergency pickup/drop off)
Parent Status:
Father
Mother
Parent Profession if any:
Parent E-mail:
Street Address:
City:
State:
Zip :
Telephone Primary:
Telephone Cell:
Second Parent
Parent Title:
Mrs
Mr
Miss
Dr
Parent Firstname:
Parent Lastname:
Drivers License:
(we require this information for identity purposes and for the safety of your child)
Password:
(please choose a password you can remember, which will be used in the event you forget your membership access card and/or during an emergency pickup/drop off)
Parent Status:
Father
Mother
Parent Profession:
Parent E-mail:
Street Address:
City:
State:
Zip :
Telephone Primary:
Telephone Cell:
How did you hear about us?:
Friend
Advertisement
Drive by
Child a student at Genius Kids
Directory
Internet
Other
Who does the child live with?:
Both parents
Mother has custody
Father has custody
Other- please advise
If Other then please specify :
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