CLASS OF 2023 VALENTINES DAY BABY SITTING PREREGISTRATION - 2/14/2020
TO PREREGISTER, PLEASE FILL OUT THIS FORM AND PAY WHEN YOU DROP OFF YOUR CHILDREN.

PLEASE, ONLY REGISTER YOUR OWN CHILDREN AS MATCHING CHILDREN WITH THE APPROPRIATE ADULT IS IMPORTANT TO US

ACCEPTING CHILDREN FROM AGES 4 AND UP

ACTIVITIES INCLUDE DISNEY MOVIES, BOARD GAMES, GYM GAMES, ARTS AND CRAFT TIME AS WELL AS PIZZA AND SNACKS INCLUDED

THIS EVENT IS BEING HELD AT GRAY NEW GLOUCESTER HIGH SCHOOL.

DOORS OPEN AT 5:00PM. ALL CHILDREN MUST BE PICKED UP BY 10:00PM

PLEASE BE PREPARED TO SHOW I.D. AT DROP OFF AND PICK UP.

COST $20 FOR YOUR FIRST CHILD, $30 FOR TWO CHILDREN AND $35 FOR A FAMILY OF THREE OR MORE
Email address *
NUMBER OF YOUR CHILDREN ATTENDING *
Your answer
CHILDREN'S NAMES *
Your answer
YOUR (PARENT OR GUARDIAN'S) NAME *
Your answer
PHONE NUMBER WHERE YOU CAN BE REACHED DURING THE EVENING *
Your answer
ALTERNATE CONTACT, IN CASE WE CANNOT REACH YOU. NAME AND PHONE NUMBER PLEASE *
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NAME OF THE ADULT DROPPING OF AND PICKING UP YOUR CHILD/CHILDREN *
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DESCRIPTION OF POTENTIAL MEDICAL ISSUES. *
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LIST OF FOOD RELATED ISSUES *
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Anything else you want us to know?
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