Drop off Grinch Party for Grades K-5
Friday, December 6th, 2019

5:00pm - 7:30pm

Grades K-5


Drop your kids off with us for dinner, and some Grinchy fun!

Please wear sneakers and socks.


aMAZEment will be closed to the public as of 4pm on this day for our event.
Child's First Name *
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Child's Last Name *
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Gender *
Age *
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Grade *
Any special medical/behavioral considerations? *
Please list any special medical or behavioral considerations (allergies, medications, asthma). Please be specific, and include symptoms and staff instructions. If none please write NONE
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Parent Name *
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Phone Number *
Please put a number that we will be able to reach you during the program.
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Parent's Email *
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Emergency Contact Name *
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Emergency Contact Phone Number *
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Please list the people that we can release your child to. (please include yourself) *
Authorized persons may need to present positive picture ID in order for staff to release a child. If someone other than the listed persons is picking up, staff must be notified.
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Physician's Name *
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Physician's Phone Number *
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By signing up, I authorize Cedardale staff members that are trained in the basics of first to administer first aid to my child when appropriate. I understand that every effort will be made to contact me in the event of an emergency requiring medical attention for my child. However, if I cannot be reached, I hereby authorize the program to transport my child to the nearest medical care facility, and to secure necessary medical treatment for my child.
I agree to the above terms. *
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