July 8-11, 2019

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* 1. Child's Name and Gender (If you have multiple children coming please list them all here)

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* 2. Birthdate and grade completed

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* 3. Address and City

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* 4. State and Zip

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* 5. Parent or Guardian Name

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* 6. Best contact number

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* 7. Emergency contact name

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* 8. Phone for emergency contact

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* 9. Please list any food allergies and medical concerns

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* 10. Please list anyone that is permitted to pick up your child, in case you can't.  

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