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Child's Information
Details about your child
Child’s Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Start date at Allegro
*
MM
/
DD
/
YYYY
Anticipated finish date at Allegro
*
MM
/
DD
/
YYYY
N.S. Health Card No
*
Your answer
Expiry Date
*
MM
/
DD
/
YYYY
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