LEGO Animation at the Children's Creativity Museum

WAITLIST

March 1, 2025

12:00 PM - 1:30 PM

Waitlist

Registration for this event has reached capacity.
This form is to join the waitlist.
If a spot becomes available for you, a staff member will reach out and let you know.
Please check the box to confirm you understand you are registering for the waitlist.

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Information for Caregiver

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Information for Additional Adults

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Information for Additional Adults

First Name

Last Name

How are you related to the child?

Is this adult a member of your household? (Do they live at the same address as you?)

Information for Youth

In order to continue to provide our services free of charge, we are required to provide our families' demographic and disability information to our funders. Please complete the information below for yourself and your child.

First Name

Last Name

Birthdate (MM/DD/YYYY)

Gender

What is your child's disability, diagnosis, or concern (hold ctrl to select multiple)

Ethnicity

What race does your child identify as (hold
ctrl to select multiple)

Home Language

Information for Youth

First Name

Last Name

Birthdate (MM/DD/YYYY)

Gender

What is your child's disability, diagnosis, or concern (hold ctrl to select multiple)

Ethnicity

What race does your child identify as (hold
ctrl to select multiple)

Home Language

Information for Youth

First Name

Last Name

Birthdate (MM/DD/YYYY)

Gender

What is your child's disability, diagnosis, or concern (hold ctrl to select multiple)

Ethnicity

What race does your child identify as (hold
ctrl to select multiple)

Home Language

Contact Information