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School Vacation Registration Form
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* Indicates required question
Child's Name (First & Last)
*
Your answer
Age
*
Please note these activities are open to all kids, but kids under the age of 7 should have a parent or guardian with them during the program.
Your answer
Which program(s) will the child be attending?
Most of the activities will take about an hour (except for the movie, which will be about 2 hours).
Tuesday, April 16, 1 pm - Origami
Wednesday, April 17, 1 pm - Movie: Madagascar
Thursday, April 18, 1 pm - Lego Competition
Friday, April 19, 1 pm - Game Day
Parent / Guardian's Name (First & Last)
*
Your answer
Emergency Contact Number
*
Your answer
Email
Your answer
Alternate Emergency Contact (Name & Number)
Your answer
Allergies
Your answer
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