Child Care for A Bountiful Affair
November 4
Kidz Conncetion
3 years old (potty trained)-4th 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
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Age/Grade
Your answer
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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