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Child's Name

First Name

Last Name

Child's Age

What grade did the child just finish?

If the child hasn't started school yet, just put 0 in the box.

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Parent or Guardian Phone

(###)

###

####

Parent/Guardian Address

Anything specific we should know? (ex. allergies)

Is your child potty trained?

EVENTS