Caring Cutz Free Hair Cut Voucher Request
Event Date: Monday August 1, 2016 Time: 9 am - 12 pm
Light snack and limited school supplies will be provided by L.O.T.O. Inc.
Designs, Parts, Fades, Specailty cuts are EXTRA.... Barbers are accepting TIPS!!! (THANK YOU IN ADVANCE)
Parents Name
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Email
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Child's Name/ Age/ School/ Grade
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What barbershop will you like get your child's hair cut?
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Child's Disability (ex: Autism, Asperger, Non-Verbal, Biter, ADHD, ADD, Have touching issues, Have issues at barbershop, sensory problems, noise issues, behavior (hitter, kicker)? Please us know your child's disability and what behavior issues your child may have at barbershops. Thank You! *For protection of child and barber.
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Physical Address:
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Telephone Number:
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Date: Last date for Voucher is 7/22/16
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