Child Care for A Bountiful Affair
November 4, 4:30 p.m.
Kidz Conncetion
3 years old (potty trained)-6th grade
HOURS OPEN 4:30-10:00 p.m.
Parent Name *
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Email *
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Phone Number to contact night of event *
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Child Name #1 *
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Age/Grade *
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Allergies
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Child Name #2
Your answer
Age/Grade
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Allergies
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Child Name #3
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Age/Grade
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Allergies
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I understand that I need to pay $5 per child per hr. upon pick up *
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