Child Registration Form
For more information, contact your hosts:
Tiffany Ayala | (203)645-0262 | tiff.jeannette@gmail.com

Abigail Lozon | (203) 675-0768 | aclozon203@gmail.com

2017 Saints Aedan & Brendan VBC CHILD REGISTRATION FORM
Please complete one form for each individual child
Child's Name
Your answer
Grade (In Fall)
Allergies?
If "Yes" please elaborate at end of form
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