Avant-Garde Sign Up & Safety Form
Email *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Child 1 First Name  *
Child 1 Last Name *
Child 1 Date of Birth *
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Child 2 First Name (if applicable)
Child 2 Last Name (if applicable)
Child 2 Date of Birth (if applicable)
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DD
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YYYY
If any other children, list name, and date of birth here.
Which day(s) and/or program(s) will you be attending? *
List any allergies/dietary restrictions your child and/or children may have. *
Emergency Contact Details *
By checking this box, you understand that Team Avant-Garde will not be held responsible for any mishaps, theft, loss, destruction or injury of adult or child. *
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