2017 Harvest Festival Childcare Form
Parent/Guardian Name
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Child(ren) Name and Ages
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Does your child(ren) have any allergies (food or otherwise)?
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No
Yes
Describe your child(ren)'s allergies if applicable
Pizza will be served for children ages 12 and under starting at 11:45. Afterwards, You as the parent or guardian are responsible for checking your child into the nursery or to view the movie.
*
No
Yes
Your Email Address
*
Please type
in the box to the right »
*
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