Community Kids Club
The vision of Board  Seven includes YOUR children. Embarking on a Mission to establish sound, self sufficient programs that benefit SBV Kids.
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Email *
First Name of Child *
Last Name of Child *
Lot # *
Street *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Gender *
Activities of Choice (please select 2) *
Required
Preferred Day *
Preferred Time *
Based on Covid19  Comfortable with MAX _______ Per Session ? *
Registration Fee *
Preferred Fee Structure *
Please State any Health Issues(Brief History  if Needed)
Contact # for Person Completing Form *
Name of Person Completing Form
DECLARATION: I stated my correct name as the person completing this form. All information provided is accurate, I also promise to communicate any possible Covid19 related information to the organizers in the best interest of ALL involved.
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