Out and About - Younger Children
July 20-24 (Monday, Wednesday, Friday)
9:00 a.m.- 12:00 p.m.
$75
3 (as of 9/1/08) - completed kindergarten

Child 1 Shirt Size*	SML
Child 1 Male/Female*	MaleFemale
Child 1 First Name:*
Child 1 Last Name:*
Child 1 Date of Birth*
Child 1 Age & Grade as of Sept. 1, 2008*
Child 2 Shirt Size	SML
Child 2 Male/Female	MaleFemale
Child 2 First Name:
Child 2 Last Name:
Child 2 Date of Birth
Child 2 Age & Grade as of Sept. 1, 2008
Child 3 Shirt Size	SML
Child 3 Male/Female	MaleFemale
Child 3 First Name:
Child 3 Last Name:
Child 3 Date of Birth
Child 3 Age & Grade as of Sept. 1, 2008
Address*
Phone Number:*
Email Address:*
Dad's Name:*
Dad's Phone Number:*
Mom's Name*
Mom's Phone Number:*
Emergency Name:*
Emergency contact's relationship to child:*
Emergency Number:*
Any allergies, special needs or limitations of which we should be aware?
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