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Rainbow Room Pre-Registration Form
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* Indicates required question
Child’s Name:
*
Your answer
Child’s Date of Birth:
*
MM
/
DD
/
YYYY
Select 3 or 4 year old class:
*
3 Year Old Class
4 Year Old Class
Parent/Legal Guardian Name:
*
Your answer
Parent/Legal Phone Number:
*
Your answer
Parent/Legal Guardian Email Address:
*
Your answer
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