Child Care Registration for LLEF Auction May 19th, 2018 - 3:30pm to 11:00pm at Las Lomitas Elementary School provided by Champions
Parent/Guardian(s) Name *
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Parent/Guardian(s) E-mail *
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Parent/Guardian(s) Phone Number *
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Name of Child (1) *
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Age of Child (1) *
Name of Child (2)
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Age of Child (2)
Emergency Contact Name *
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Emergency Contact Phone Number *
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