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Sign Up - Gajanan Seva Kids Food Drive 2018
This is kids signup form for you.

When : Sat, Sept 1st and Sun, 2nd from 2pm-6pm for both days

Where: Safeway, 5146 Stevens Creek Blvd, San Jose, CA 95129

At least 1 parent must accompany the child for the entire duration that the child participates, Thank You!

*Contact info:* Archana Sakalkale: 408.218.8751, Amit Malasane : (408) 797-7085, Prakash Ranade:(408) 828-3345

Email address *
Kid Name *
Your answer
Kid Age *
Your answer
Name of accompanying Parent *
Your answer
Contact Cell *
Your answer
For Sep 1st, Sat, What time slot will you attend? *
For Sep 2nd, Sun, What time slot will you attend? *
Any Comments!
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