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Bike Path Learning Registration
Your Child's School
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Your Child's Name
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Payment Option
Child's Grade
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Language interested in learning
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Is the child or are the children enrolled in a Before and or After School Program?
Does your child or do your children have permission to walk home?
Please list any allergies, special needs, concerns, or any other comments
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Additional children information?
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Your Name
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Relationship to child/children
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Email
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Your cell phone number
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Home number
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Name of a second person we are allowed to call
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Secondary contact's cell number
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Address
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Are you a staff member at any school?
Questions or Comments?
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