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Growing Together Registration
Email address *
Child(ren)'s Full Name & Date of Birth: *
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Parent's Full Name *
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Address (including postal code)
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Telephone Number
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Food allergies
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Important medical information
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Emergency contact person (name & phone number)
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How did you hear about this program? (Facebook, google, other CCS program etc.)
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Access Verdun/Library Card Number (providing this helps our programs receive funding from the municipality)
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How would you prefer to be contacted?
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