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Grow to Learn Registration
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First and Last Name
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Zip Code
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Email
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Phone Number
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Child's name
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Child's age
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Additional Children (s) names and ages
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How did you hear about Grow to Share?
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Emergency Contact Name and Phone Number
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Program fee is $5.00 per child or $15.00 for a family (for the cost of materials)
Please check your total below and preferred form of payment
Total is $5.00 (1 child)
Total is $10.00 (2 children)
Total is $15.00 (3+ children)
Pay by check to Grow to Share PO Box 531 River Falls WI 54022
Pay at first session
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