ANCHORED Kids Christmas

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Go Christmas shopping while we watch your kids!
Register for this freewill donation event, to take place on December 8, 2018, 12pm-5pm.

Phone Number *

Parent Name (first and last) *

Home Address (if you would like to receive future information on events like this from us)

Children's Names (first and last) *

How old are your children? *

This event is designed for kids 5th grade and younger. If you have older children, they are welcome to come and help run the activities.

Please write out any allergies/sensitivities your child has if applicable:

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone Number *

Please write out the names of people you authorize to pick up your child from this event if it is not going to be you:

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