Hunger 2 Hope 2019 Childcare Registration Form

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Hunger 2 Hope 2019 Childcare Registration Form

Thanks for registering for Hunger 2 Hope on December 15 at Kenmore Middle School! Childcare will be provided for children under 5 between 9am-5pm. Contact: michele.smith@trygrace.org

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* Indicates required question

Parent/Guardian Name: *

Your answer

Parent/Guardian Cell #: *

Your answer

Child's Name/Age/Food Allergies: *

Your answer

Child's Name/Age/Food Allergies: *

Your answer

Child's Name/Age/Food Allergies: *

Your answer

Child's Name/Age/Food Allergies: *

Your answer

Which shift(s) do you need childcare? *

9AM - 11AM

12PM - 2 PM

3PM - 5PM

Other

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