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Craft Club Registration
Thank you for your interest in Kidable's Craft Club! Kidable's groups are hosted by pediatric occupational therapy professionals to enhance functional skills in a fun environment. For optimal individualized attention, these groups are kept small.
Completion of this form does not guarantee registration. Registration is complete once payment is received.
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Email
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Your email
I confirm I am registering my child for Kidable's Craft Club, which costs $215 and is hosted at the CoLab in downtown Grandin on Tuesdays from 4:00 pm - 5:30pm from October 11th to November 15th.
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Yes, that's the plan
Required
Full Name of Participant
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Your answer
Participant's Age
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Your answer
Participant's Birthday
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MM
/
DD
/
YYYY
Participant's Preferred Pronouns
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he/him
she/her
they/them
Other:
Home Address (Street, City, State, Zip)
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Your answer
Name of Caregiver (1)
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Your answer
Phone Number for Caregiver (1)
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Your answer
Email for Caregiver (1)
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Your answer
Name of Caregiver (2)
Your answer
Phone Number for Caregiver (2)
Your answer
Email for Caregiver (2)
Your answer
Name of Emergency Contact (if caregiver(s) cannot be reached)
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Your answer
Phone Number for Emergency Contact
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Your answer
Emergency Contact's Relationship to Participant
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Grandparent
Aunt/Uncle
Family Friend
Babysitter
Other:
Required
Please list the names and phone numbers of anyone approved to pick up or drop off the child to the group.
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Your answer
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