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Child Collection Form
Please inform us if your child will be collected by someone else. They must be able to provide ID and your collection password.
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* Indicates required question
Email
*
Your email
Child's name
*
Your answer
Date of session
*
MM
/
DD
/
YYYY
Time of pick up
*
Time
:
AM
PM
Name of person collecting
*
Your answer
A copy of your responses will be emailed to the address you provided.
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