Child Registration Form

Child's Name*
First Last
Child's Nickname
Birthday*
MM slash DD slash YYYY
Age*

Please enter a value between 2 and 10.
Remarks
Special remarks for the child. (eg. Allergic to shrimps, no sweets, etc.)
CAPTCHA

Name*
First Last
Email
Address
Street Address City State ZIP Code
Mobile Phone Number*
Child's Name
First Last
Child's Age
- Under 24 months
- Over 24 months
- Over 5 Years Old

Add Child

Child's Name	Child's Age
		Edit Delete
There are no Entries.

Care Needed
Days Needed
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Location*
Is child in daycare?
How did you hear about Rainbow Palace?
Please Specify
CAPTCHA

(718) 823-2423 / (718) 823-6021

Hours of Operation:
Monday–Friday
7:30 a.m.–5:30 p.m.
We can and will accommodate to any schedule
Night and weekend hours always available.
Now two locations
Throgs Neck and Country Club
Bronx, NY