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BCC SPROUTS Child Registration Form
Please register EACH SPROUTS child below and answer ALL the questions for each child. Your child will only be released to the parent/guardians listed below. You may skip to the end of the form if you have finished registering all your children.
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* Indicates required question
Parent/Guardian #1 Name
*
First and Last
Your answer
Parent/Guardian #1 Phone Number
*
Please use the best number to reach you at. We will call/text you if we need to.
Your answer
Parent/Guardian #1 E-mail
*
Your answer
Parent/Guardian #2 Name
First and Last
Your answer
Parent/Guardian #2 Phone Number
Your answer
Parent/Guardian #2 E-mail
Your answer
Emergency Contact Name & Phone Number
*
If the parent/guardian is unable to pick up their child after a childcare session, BCC has permission to release the child to the following person(s).
Your answer
Names of other people allowed to pick-up your child.
*
Your answer
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