Identity Nite
Identity Nite
4:30pm - 7:30pm October 15, 2023
Child Name
Child Name
*
First
Last
Child's Age
*
Child's Gender
*
Male
Female
Food Allergies:
Who is your child's biggest influencer?
*
Who is your child's biggest influencer?
Friends
Family
Celebrities
Jesus Christ
None
What does your child spend the most time on?
*
What does your child spend the most time on?
Music
Sport
Video Games
Fashion
TV
Computer/Phone
Social Media
Sleep
None of the above
Legal Guardian Name
Legal Guardian Name
*
First
Last
Emergency Contact
Emergency Contact
*
-
###
-
###
####
Email
*