2012 Biodynamic Conference - Child Care Form
Thank you for taking the time to fill out this form. We will get back to you shortly to confirm your request. If you have questions please call or email, Nancy Gutknecht at 608-354-9706 or
Name of your child
Please give first and last name
Age of your child
Which day will you need childcare?
Friday, November 16th
Saturday, November 17th
Will you need full day or half day?
Please give first and last
Does your child have any allergies or a medical condition
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