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Parent Information
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Spouse Information
Yes, include my spouse's information
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Spouse Cell Phone Number:
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Spouse Date of Birth
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Mother
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Grand Mother
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Child Information
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Full Name
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DOB
Allergies?
For safety purposes, I understand that I must present the security claim tag assigned to me or a valid ID in order to obtain my child(ren) from any Kids Life environments once they are checked in.
I understand the check-in/check-out procedure
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