Family Registration

Complete your profile to get started with Snuggle Bugs

Parent

Children

Medical

Pickups

Details

ID Upload

Consent

Parent / Guardian Information

Tell us about the primary parent or guardian.

Full Name *

Relationship *

Email *

Phone Number *

Home Address *

Second Parent/Guardian Name

Second Parent/Guardian Phone

Children Information

Add each child who will be in our care.

Medical & Dietary Information

Health details for each child. Leave blank if not applicable.

Authorized Pickup Persons

People authorized to pick up your child(ren) besides the parents listed above. At least one is required.

Pickup Person 1

Full Name *

Phone Number *

Relationship to Child

ID Type

Pickup Person 2

Full Name

Phone Number

Relationship to Child

ID Type

Additional Details

A few more details to help us serve your family best.

Service Needed *

Preferred Start Date

Emergency Contact (other than parents)

Emergency Contact Name *

Emergency Phone *

Relationship to Child

How did you hear about us?

Additional Notes

ID Document Upload

Please upload a photo of your government-issued ID (driver's license, passport, or national ID). This helps us verify your identity for the safety of all children in our care.

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Drag & drop your ID here

or click to browse files

Accepted: JPEG, PNG, GIF, WebP, PDF (max 5MB)

Consents & Agreement

Please review and agree to the following before submitting.

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Registration Submitted!

Thank you! Your registration has been submitted and is now under review. We'll update you once it's been reviewed by our team.