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Child's First Name: *
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Child's Last Name: *
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Child's Date of Birth: *
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Parents' Name *
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Home Address: *
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Phone Number: *
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Name of Parent or Caregiver Attending: *
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Medical Information (Allergies or Medical Conditions): *
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I would like my children to attend class on the following days: *
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All fees are due by April 9, 2018
For any questions, please email us at summer@chelseadayschool.org or call (212) 675-8541.
A copy of your responses will be emailed to the address you provided.
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