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Date
Name of
Parent/Guardian
Phone #Email AddressChild's NameChild's Age
Grade entering
in Sept
Allergies2nd Child's
Name
2nd Child's
Age
2nd Child's
Grade
2nd Child's
Allergies
3rd Child's
Name
3rdChild's
Age
3rd Child's
Grade
3rd child's
Allergies
2
7/9/19Trevor Bell860-978-0665
trevorjohnbell@gmail.com
Luciana Bell51stnonePenelope Bell2nonen/a
3
4
7/10/2019Ximena Molina-Hincapie954-380-2376xhincapie84@gmail.com
Karenjuliana Molina-Hincapie
94thInsect bites
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