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Calvary Kids Christmas 2019
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* Indicates required question
Name of Child
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Date of Birth
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MM
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DD
/
YYYY
Grade
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Pre-K
Kindergarten
1st
2nd
3rd
4th
Age
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4
5
6
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11
Parents/Guardians
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Address
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Home Phone Number
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Cell Phone Number
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Email
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Emergency Contact Name
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Emergency Contact Phone Number
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Special Needs
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Food allergies
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Other information we need to know
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Signature
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