T4SJ Conference Childcare Registration
Child's first name *
Your answer
Child's last name *
Your answer
Child's age on 10/12/19 *
Your answer
Allergies/Special needs/Important Info or N/A *
Your answer
Parent/Guardian's first name *
Your answer
Parent/Guardian's last name *
Your answer
Parent/Guardian email *
Your answer
Cell Phone number where parent/guardian can be reached during the conference. (If no cell phone please list an emergency contact number.) *
Your answer
Any questions? Let us know if you have any questions about the childcare that is offered at the conference this year.
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