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Lego Club
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KIDS ONLY!
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1st Participating Parents Name *
2nd Participating Parents Name
1st Participating Childs Name & Age *
2nd Participating Childs Name & Age
3rd Participating Childs Name & Age
Do you need to register more children? Yes No
Phone Number *
Email Address *
Month Class starts
Will you be missing any classes? Yes No
If so, which dates?
Do you or other participants have any medical conditions we need to know about? Yes No
If so, please list here:
Do you have a signed waiver on file? Yes No
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