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2017 Spring Laker Playgroup
REGISTRATION FORM
WHEN: Wednesdays beginning April 5th through May 24th
WHERE: University Lake School Campus - Manegold Lower School Building
COST: $175
SEND PAYMENT TO: Deb Smith, ULS, 4024 Nagawicka Road, Hartland, WI 53029
Child 1 Name and Date of Birth:
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Child Name and Date of Birth
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Address (Street, City, State Zip)
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Mother/Guardian Name:
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Mother's Email:
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Father/Guardian Name:
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Caregiver's Name, if applicable:
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How did you learn about our Laker Playgroup?
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