Register | Brown Tyes Academy

Parent or Guardian's First Name

Parent or Guardian's Last Name

Parent or Guardian's Email

Parent or Guardian's Email Phone

Childs First & Last Name

Child's Date of Birth

Month

Day

Year

Emergency Contact Name

Emergency Contact Phone Number

Parent or Guardian's ID

Does the child have any food allergies?

Is there any additional information that we need to know about the child?

How did you learn about us?

Yes! I would like to stay connected to the academy and receive alerts or updates on special events or messages issued by the center.

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