Rooted Childcare for November 15th
To save time on Sunday, please pre-register.  
Complete one form for each child.  
Can’t wait to see you Sunday! 
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Parent or Guardian Full Name
Best Contact Number (cell phone)
Email address
Child’s Full Name
Child’s Date of Birth
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/
DD
/
YYYY
Which class placement best fits your child
Clear selection
List any known allergies, specific medical conditions or needs 
Submit
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