2019 Child/Student Contact Information
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Child/Student Name
*
Phone
*
Grade
*
Please select one option.
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Birthday (xx/xx/xxxx)
*
Allergies and/or special needs:
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Description
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