Thank you for registering for a program with Common Digs. Please complete the following form and submit. Once received we will forward you additional information to complete your payment. 

Child's Information *
Child's Information
Please indicate the number of days per week you are registering for.
Days of week
Please check off the preferred days for your child to attend.
Home Phone *
Home Phone
Birthdate *
Birthdate
Parental Information
Parent/Guardian's Name *
Parent/Guardian's Name
Cell Phone *
Cell Phone
Parent/Guardian's Address *
Parent/Guardian's Address
2nd Parent/Guardian's Name
2nd Parent/Guardian's Name
Cell Phone
Cell Phone
2nd Parent/Guardian's Address
2nd Parent/Guardian's Address
Please complete if different from child's home address
emergency contact
Please provide a local contact, other than a parent, who will be able to pick up your child in the event of an emergency.
Emergency Contact *
Emergency Contact
Primary Phone # *
Primary Phone #
Alternate Phone #
Alternate Phone #