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You are here:   / Sign Up Form
Step 1 of 2: Add Participant Information
Please fill in the information for all of the participants that will be attending the selected classes in the cart.
* Denotes required field
First Name: *
Middle Name: 
Last Name: *
Address: *
Address 2: 
City: *
State: *
Zip: *
Foreign Zip: 
Country: 
Email: 
Day Phone: *
Night Phone: 
Same as  Day
Home Phone: *
Same as   Day | Night
Driver License: 
Other Phone Numbers: 
Phone #
Which # is this (e.g. Mom's work)
 
Describe Special Needs (Disability, Allergies, and Other Notes)
Age on Race Day: 
Customer Type: 
Gender: *
Age Group: *
School Attending: 
Grade: *
Birth Date: *
Shirt Size: 
Short Size: 
Rural Resident: 
Bus number to school: 
Bus Transportation needed: 
Pick-up Person (if other than the parent)
Pick-up Person's name: 
Relationship to the student: 
First Kicks/Mini Kicks/Kndg Soccer: 
Is there 1 friend you would like to request as a teammate? (The friend requested must also request your participant in order to be placed on the same team): 
I hereby grant permission for my child to be photographed while participating in Waconia ISD 110 Early Childhood programs. These photos may be used within the school.: 
I hereby grant permission for my child to be photographed while participating in Waconia ISD 110 Early Childhood programs. These photos may be used for publication on our website, social media platforms, and brochures.: 
Do you have a request for a specific teacher? Your request is not guaranteed, but we will do our best to honor teacher requests. Teacher name:: 
Do you need transportation? (If yes, you will need to register for transportation in addition to your class): 
What school will your child attend for Kindergarten?: 
What is your preferred location for preschool?: 
Has your child had previous preschool experience?: 
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