Wednesday School Registration
Email address *
Parent/Guardian Name
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Mailing address, city, state, zip
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Parent/Guardian phone number
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Secondary contact name
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Secondary phone number
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Child 1 name
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Child 1 current grade
Child 2 name
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Child 2 current grade
Child 3 name
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Child 3 current grade
Child 4 name
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Child 4 current grade
Allergies
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Any other information
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Photography/video release
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