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Club Participant Registration Form
Circle Of Friends
2021-2022 School Year
Waukesha West High School
Club Advisor, Natalie Hodgkins
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Name
*
Your answer
Best number to reach you at
*
Your answer
Email
*
Your answer
Students name and Grade level
*
Your answer
Medical needs your child has that I should be aware of
*
Your answer
Behavioral needs your child has that I should be aware of
*
Your answer
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Pick up after school: At times it can be challenging to figure out what car to send a student to after one of the West activities. What make, model, and color car will your child be picked up in?
Your answer
Emergency Contact, and also an alternate pick up person's contact info (include name and number).
*
Your answer
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