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Perfect Ten Sign Up Form 2022-2023
Thank you so much for your interest in joining Perfect Ten!
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Email
*
Your email
Girl Name
*
Your answer
Home Address
*
Your answer
Parent Contact -
Name, Phone Number & Relationship to Girl
*
Your answer
Emergency Contact -
Name, Phone Number & Relationship to Girl
*
Your answer
Girl Phone Number
(if applicable)
Your answer
Age & Date of Birth
*
Your answer
School Grade for 2022-2023
*
Your answer
Girl Allergies
*
Your answer
Medications prescribed to girl
*
(
PLEASE NOTE:
Perfect Ten is not responsible for administering, keeping track of, or monitoring any meds).
Your answer
Please let us know if there is any other information we should know about your child.
Your answer
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