PNO, Friday December 14, 2018
*****Please fill out entire form in order to register your child***** Put "N" in responses that do not pertain to you.
Email address *
Name of Parent/Parents *
Your answer
All Cell Phone Numbers *
Your answer
Full Name of Child 1 *
Your answer
Child 1 allergies, medical conditions or any other items that After School should be aware of: *
Your answer
Full Name of Child 2 *
Your answer
Child 2 allergies, medical conditions or any other items that After School should be aware of: *
Your answer
Full Name of Child 3 *
Your answer
Child 3 allergies, medical conditions or any other items that After School should be aware of: *
Your answer
Have you paid yet? *
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