Child Care Registration

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Child Care Registration

Please fill out the form only if you already have a conference ticket on your name.

* Indicates required question

Email *

Record my email address with my response

Parent name
*

Your answer

Parent Contact Information

(phone, email)

*

Your answer

Child name
*

Your answer

Age of child

*

Your answer

Child Care hours needed *

Your answer

Languages your child speaks?
*

Your answer

Any illnesses or allergies?
*

Your answer

May your child be taken outdoors to play?
*

Your answer

Send me a copy of my responses.

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