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New Child Registration
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Parent Name
*
Your answer
Parent Phone Number
*
Your answer
Child Name and Age
*
Your answer
Child Date of Birth
*
MM
/
DD
/
YYYY
Child Grade (if applicable)
Your answer
Allergies
*
Milk
Eggs
Soy
Peanuts
Wheat/ Celiac Disease
OTHER
No known allergies
Additional Information:
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