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* 1. WHAT IS YOUR ADDRESS STREET

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* 2. WHAT IS YOUR ZIP CODE

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* 3. DO WE HAVE PERMISSION TO PHOTOGRAPH AND SHARE ON SOCIAL MEDIA?

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* 4. NAME OF CHILD #1

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* 5. DATE OF BIRTH OF CHILD #1

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* 6. What grade did CHILD #1  last complete?

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* 7. WHAT IS THE NAME OF CHILD #2

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* 8. DATE OF BIRTH OF CHILD #2

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* 9. LAST GRADE CHILD #2 COMPLETED

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* 10. NAME OF CHILD #3

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* 11. DATE OF BIRTH OF CHILD #3

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* 12. LAST GRADE CHILD #3 COMPLETED?

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* 13. NAME OF CHILD #4

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* 14. DATE OF BIRTH OF CHILD #4

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* 15. LAST GRADE CHILD #4 COMPLETED?

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* 16. Parent or Guardian's names?

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* 17. Phone number where guardian(s) can be contacted?

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* 18. If guardian cannot be reached, who should we contact & where?  Please list relationship to child(ren)

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* 19. Who is authorized to pick child(ren) up? (List all.)

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* 20. What is your email address?

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* 21. Please list any allergies (including food allergies), physical condition, defects or medical conditions that would limit Child #1 from participating in any activity.

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* 22. Please list any allergies (including food allergies), physical condition, defects or medical conditions that would limit Child #2 from participating in any activity.

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* 23. Please list any allergies (including food allergies), physical condition, defects or medical conditions that would limit Child #3 from participating in any activity.

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* 24. Please list any allergies (including food allergies), physical condition, defects or medical conditions that would limit Child #4 from participating in any activity.

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* 25. How did you learn aboutTSBC summer activities?

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* 26. Limited bus pick up may be available.  If you need bus pick up, please indicate this. 

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