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【Asia Pacific Bioinformatics Joint Congress】nursery application form
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Email *
Guardian name *
E-mail *
Phone number *
Current day emergency contact phone number (only if different from above)
Relationship with children *
October 23rd, Wednesday  Reservation start time - end time
Bringing Lunch
Clear selection
October 24th, Thursday  Reservation start time - end time
Bringing Lunch
Clear selection
October 25th, Friday  Reservation start time - end time
Bringing Lunch
Clear selection
Child name (Child 1) *
Date of birth (Child1) *
MM
/
DD
/
YYYY
Age (Child 1) ※Day of Child Care *
Sex(Child 1) *
Normal temperature(Child 1) *
Allergy(Child 1) *
Favorite games, toys, characters, etc.(Child 1) *
Child name (Child 2)
Date of birth (Child2)
MM
/
DD
/
YYYY
Age (Child 2) ※Day of Child Care
Sex(Child 2)
Clear selection
Normal temperature(Child 2)
Allergy(Child 2)
Favorite games, toys, characters, etc.(Child 2)
Child name (Child 3)
Date of birth (Child3)
MM
/
DD
/
YYYY
Age (Child 3) ※Day of Child Care
Sex(Child 3)
Clear selection
Normal temperature(Child 3)
Allergy(Child 3)
Favorite games, toys, characters, etc.(Child 3)
If you have any other precautions or requests for a sitter, please write them down.
Regarding the handling of personal information Have you checked the consent and babysitting service terms for various infection prevention?
 *
A copy of your responses will be emailed to the address you provided.
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