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Town Meeting Child Care 2021
Town Meeting Child Care Thursday June 17, 2021 (6:00PM - 9:00PM) High School Library
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Child's Full Name
Your answer
Child's Current Grade
K
1
2
3
4
5
6
Other:
Parent / Guardian Cell Phone
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Parent / Guardian Email Address
Your answer
Emergency Contact Name
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Emergency Contact Phone
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Allergies / Medical Conditions
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Does your child require the use of an epi pen
Yes
No
Other:
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