Little Flowers Club Registration 2021-22
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Email *
Child Name *
Child Date of Birth *
MM
/
DD
/
YYYY
Grade *
Name of Parent(s)/Guardian *
Contact Number *
Email *
Mailing Address *
Emergency Contact besides parent *
Are there any medical needs, concerns, and/or allergies we need to be aware of?
Do you give permission for us to release any pictures taken of the above child by the club volunteers to be included in any announcements, advertisement, and documents regarding this club? *
Does your daughter have a Little Flowers sash? *
Does your daughter have a Little Flowers shirt? *
Volunteer: Interested in staying with your daughter and helping at the monthly meetings?
Volunteer: Cannot commit to being present at monthly meetings, but would like to volunteer my time.
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