Little Sparks Registration
Email address
Which session?
Name
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Email
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Phone
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Home Address
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Name of Child
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Gender
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Age of child on Sept 1, 2017
Is your child currently attending preschool? If yes, note which preschool:
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Allergies or other information we should know that might impact your child's learning experience?
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Is there anyone else who may pick up your child? Include name and phone number
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In the event of an emergency whom should we contact? Include name and phone number
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Payment can be payment via check made payable to the Maritime Explorium. Full payment due at registration. Registration is not confirmed unless full payment is received. Cancellation of program requires 21 days notice in writing.
Any questions or comments?
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