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Children Activities Registration Form
Formulario de Inscripción para Children Activities (Actividades para niños)
*PLEASE READ* GUIDELINES TO PARTICIPATE IN CHILDREN ACTIVITIES
*POR FAVOR LEER* PAUTAS PARA PARTICIPAR EN CHILDREN ACTIVITIES
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* Indicates required question
Parent/Caregiver Last Name
Apellido del padre o madre de familia /cuidador
*
Your answer
Parent/Caregiver First Name
Nombre del padre o madre de familia/cuidador
*
*
Your answer
Parent/Caregiver Phone Number
Número Telefónico del padre o madre de familia/cuidador
*
*
Your answer
Parent/Caregiver Email (Release of Liability will be sent)
Correo electrónico del padre o madre de familia/cuidador (Se enviará Liberación de Responsabilidad)
*
Your answer
Emergency Contact
Contacto de Emergencia
*
Your answer
Which Children Activities location are you interested in attending?
¿Qué ubicación de Actividades para Niños está interesado/a en asistir?
*
First Presbyterian Church (ELA Mon/Wed)
Genesis Project (Community Meeting)
Realities for Children (Spanish Café Wed)
Brookstone (Loveland Housing Authority Community Café)
First Presbyterian Church (MORNING Spanish Café Thurs)
First Presbyterian Church (EVENING First Pres Café Thurs)
How many kids will be participating in Children Activities?
¿Cuántos niños participaran en las Actividades Infantiles?
*
1
2
3
4
5
If more than 5 kids, please specify the number
Si más de 5 niños, por favor especificar el número
Your answer
Full Name and Age-Child 1
Nombre Completo y edad- Niño 1
*
Your answer
Full Name and Age-Child 2
Nombre Completo y edad- Niño 2
Your answer
Full Name and Age-Child 3
Nombre Completo y edad- Niño 3
Your answer
Full Name and Age-Child 4
Nombre Completo y edad- Niño 4
Your answer
Full Name and Age-Child 5
Nombre Completo y edad- Niño 5
Your answer
Additional Information
Informacion Adicional
Your answer
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