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Kids' Blast Registration
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* Indicates required question
Child's Information
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Grade Entering
*
(2019-2020 school year)
Preschool (4 Years)
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Allergies/ Medical Concerns
*
Your answer
Parent/Guardian Information
Parent/Guardian Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Email Address
*
(for event communication and details)
Your answer
How did you hear about Kids' Blast?
Attend BBC
Friend
BBC Website
Social Media
Flyer/Mailing
Other:
Family Code Word
*
This will be used for pick-up purpose
Your answer
Submit
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