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  • South Park & Patterson Roads
  • Bethel Park, PA 15102
  • Main Office: 412-835-7140
  • Email: ruthfred@ruthfred.org

Registration Form for KidsTime Fall 2017

Parent/Guardian's Information


Parent/Guardian's last name First names
Street address City State
Telephone numbers: Home Work
Parent/Guardian's email

Children's information


  1. Name Grade Date of birth Gender Allergies
  2. Name Grade Date of birth Gender Allergies
  3. Name Grade Date of birth Gender Allergies
  4. Name Grade Date of birth Gender Allergies
  5. Name Grade Date of birth Gender Allergies