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Prime Time Family Registration
We're so excited you're joining Prime Time Reading! Please fill out this registration form and let us know how many people to expect from your family to ensure we have enough food and resources.
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* Indicates required question
Email
*
Your email
Name of Parent(s)/Caregivers attending
*
Your answer
Phone Number
*
Your answer
Do you need transportation?
*
Yes
No
Required
Child's Name/Age/Teacher
*
Your answer
Child's Name/Age/Teacher
Your answer
Child's Name/Age/Teacher
Your answer
Child's Name/Age/Teacher
Your answer
Total family members planning to attend (to ensure enough food, resources etc.)
*
Your answer
Photo Permission
Yes
No
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