Kids Club 2022-2023
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Childs Name *
Parent/Guardians Name (Parent A) *
Parent/Guardians Name (Parent B) *
Parent/Guardians Email (Parent A) *
Parent/Guardians Email (Parent B) *
Parent/Guardians Phone Number (Parent A) *
Parent/Guardians Phone Number (Parent B) *
Grade Entering August 16th *
School Attending *
Days of the week needed *
Required
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