Breeze Kids - Pre-Registration Form

We're so glad you're going to join at for Breeze Kids!
Service times are 9am and 11am Sundays at both locations!
Wednesdays at 7pm at the North Fort Myers Location.

Please fill out all information so we can best prepare for you and your family when you decide to join us!

Under HOUSEHOLD MEMBERS you will add your children and spouse (if applicable)

Cape Coral Location launches Sunday, October 5th!

Please add your spouse (if applicable) and children in household. Birthdate for all children is required and Grade is also required if applicable. Medical notes: Please let us know of any allergies / medical needs.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.