Child's name *
Child's name
If you are enrolling more than one child you will need to complete a separate registration for each one.
Registering parent/guardian *
Registering parent/guardian
Phone # *
Phone #
Emergency Contact *
Emergency Contact
Please provide a contact different than the registering parent/guardian.
Emergency Contact Phone # *
Emergency Contact Phone #
We would like you to be aware that WholeKids may take reasonable and professional photographs during workshops for promotional and advertising purposes (i.e. website, Facebook, flyers, brochures, success stories, etc.). Information in photo captions will never consist of more than a child’s first name and age. If you do not wish for your child to be included in these photographs, please check the box below.

Almost done! To secure your child's spot in the workshop, after submitting your registration above, please follow this link to submit payment (3% transaction fee applies): secure paymentPayment prior to attending is required. If you are not paying at the beginning of the month please email Jay before you pay so he can provide you with a discount code to prorate the amount due when you register:

**Take advantage of our referral discount! If you refer a new customer who enrolls in Girls Inspired, Mighty Warriors or Tiny Warriors you will receive 25% off!!**