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Babysitting Night Registration Form
To ensure the safety of all children, please complete this form by February 1, 2023. Thank you!
All payments can be made the day of the event.
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* Indicates required question
Email
*
Your email
Name of child(ren) and age:
*
Your answer
Name of authorized pickup:
(Contact 1)
*
Your answer
Phone Number for Contact 1:
*
Your answer
Name of authorized pickup:
(Contact 2)
Your answer
Phone Number for Contact 2:
Your answer
Emergency Contact (Name and Phone Number):
*
Your answer
If your child has any allergies or something we should be aware of, please describe:
Your answer
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