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Safety & Emergency Preparedness Workshop
Saturday, June 29th 9:00 AM - 11:00 PM, Free. Register by June 21st.  At the 4-H Building in Auburn.  Come join us! Ages 5-18, parent's must stay with youth 5-7 years old. 

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Name: *
Age/Grade entering:  *
Parent's Name:  *
Race/Ethnicity *

Emergency Contact #:  *
Email *
Special Accommodations Needed or Food Allergies  *
I give permission to use my child's image taken in photographs to be used publications, advertisements, news articles or websites.   *
I give permission for my child to attend the Safety Workshop.   *
Name of parent or adult filling out form: *
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