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Collegiate Summit Childcare Registration
Please fill out one form for each child you will need childcare for during Collegiate Summit. Childcare is provided free of charge for pre-k students only.
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* Indicates required question
Child First Name
*
Your answer
Child Last Name
*
Your answer
Child Gender
*
Male
Female
Required
Child Birthdate
*
MM
/
DD
/
YYYY
Does your child have any special needs or dietary restrictions that we can plan for?
Your answer
Guardian First Name
*
Your answer
Guardian Last Name
*
Your answer
Guardian Cell Phone
*
Your answer
Guardian Email
*
Your answer
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