Kuei Luck Early Childhood Center LIC Grand Opening Open House
Please complete this form. All persons attending ages 5 or older are required to wear a mask.
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Email *
Parents Name *
Email Address *
Please provide an email address for contact tracing
Telephone Number *
Please provide a contact number for contact tracing
Childs Name
Child's Date of Birth
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I understand that all attendees attending this event ages 5 or older are required to wear a mask at all times. *
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