Parent / guardian first name *

Parent / guardian last name *

Phone *

Email *

Parent / guardian permission for traditional Filipino storytelling *

I am this child’s parent or legal guardian, and I consent to my child participating in traditional Filipino storytelling during childcare.

Retreat cohort and dates *

Child’s first name and age *

Allergies and action plan *

Disabilities, accommodations and support needs *

Potty training and toileting needs *

Medications and care instructions *

Language and communication *

Emergency contact and authorized pickup *

Storytelling questions or considerations (optional)

Additional care notes and parent acknowledgment *