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Bloomingdale Daycare and Nursery
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Kid Dance Caravan Registration
Please make sure to correctly fill out all required fields!
Child's First Name
Child's Last Name
Child's Age
Gender
Boy
Girl
School
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Classroom
Parent's First & Last Name
Email
Phone Number
I agree to let my child participate in the Kid Dance Caravan Programs. I release Kid Dance Caravan Inc, its officers, instructors and the daycare/preschool associated with the program from all responsibilities and claims for injuries recieved while participating in the dance program and related activities.
I grant Kid Dance Caravan Inc, permission to use photographic images and video of my child in its promotional activities
I grant Kid Dance Caravan Inc, to send me email updates reguarding classes & recitals
Register
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