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Holiday Shop and Drop Dec. 17 Information Form
Please read, complete, and submit the Holiday Shop and Drop information.
Form is required by Dec. 14 at 10 p.m.
If a question IS NOT applicable, please respond with N/A!
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* Indicates required question
Email
*
Your email
First and Last Names of Parent/Guardian
*
Your answer
Parent/Guardian Contact Phone Number
*
Your answer
Parent/Guardian Email
*
Your answer
First and Last Names of person picking up child/children
WITH
phone number:
CHILDREN WILL ONLY BE RELEASED TO THE PERSON(S) INDICATED!!
*
Your answer
First and Last Name of Child
*
Your answer
Age of Child
*
5 yrs old
6 yrs old
7 yrs old
8 yrs old
9 yrs old
10 yrs old
Health or allergy concerns of child listed above:
*
Your answer
Do you have another child to add?
*
yes
no
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