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Children & Youth Info Update
We are looking to update our Children and Youth Roster. Please fill out so that we can have the most up to date information.
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* Indicates required question
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Parent email
*
Your answer
Child’s Last Name
*
Your answer
Child’s First Name
*
Your answer
School
Your answer
Grade/Year in school
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
For programming: If your child’s age does not correspond with typical grade placement, would you rather have them
Be grouped with current school grade
Be grouped with others around same age
Will email Children's Co-Directors with requests
Any
developmental disability,
learning differences, or neurodiversity teachers / volunteers need to be aware of
Your answer
Allergies
*
Your answer
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