NEXT Kids Inc.

Family Name

Child(ren) Name

Change of Email (Please include new email)

Change of Phone Number (Please include new phone number)

Change of Employment (Please include new employers name, address, and phone numer)

Change of Home Address ( Please include new home address with postal code)

Emergency Contact

Updating Contact Information
Adding Contact
Removing Contact

Change or Add EMERGENCY CONTACT

If you are removing an emergency contact please include their name. You must always have 2 emergency contacts on file.

Pick Up Information

Add a new pick up person
Remove a Pick up person
Update pick up indormation

Change or Add PICK UP INFORMATION

If you are removing a pick up person from the file please include their name

Comments or Additional Information