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Registration Form 2024 Kindergarten Safety Town
Hosted by Los Alamos Police Department & Los Alamos Public Schools
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Please complete this form to register your child for Kindergarten Safety Town. Safety Town is open to all incoming Kindergarten students.
Dates: June 10th-14th Barranca Mesa Elementary 8:30am-12:00pm M-F
Student's First Name
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Your answer
Student's Last Name
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Your answer
Parent/Guardian Name: First & Last
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Your answer
Cell Number
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Your answer
Work Number
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Your answer
Email
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Your answer
Does your child have allergies we should be aware of?
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Your answer
Non allergy related concerns we should know about?
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Your answer
At the end of the day, my child will be picked up by: Please list Name & Phone Number
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Your answer
Please list the people who may pick up your child and their phone numbers in the event we cannot reach you.
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Your answer
Code Word to be used when picking up my child
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Your answer
Are there any medical concerns, medications, health issues we should be aware of?:
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Your answer
Please acknowledge this information by placing a check in each box.
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This program is free.
Families of students are responsible for providing transportation to and from Kindergarten Safety Town.
Required
If you need more information or have any questions about Kindergarten Safety Town 2023, please contact Gina Terrazas, Pre K Director at v.terrazas@laschools.net.
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