FCC Kidz Registration 2022-2023

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Email *

Parent/Guardian Name 1 *

Street Address *

Mobile Phone *

Preferred Email *

Talents/Hobbies/Skills to Share

Parent Guardian 2

Parent/Guardian Name 2

Address (if different from above)

Preferred Email

Mobile Phone

Talents/Hobbies/Skills to Share

In addition to the above listed parents/guardians, I grant permission for the following adults to transport my child(ren) to and from FCC Kidz and/or other FCC events (for each person, please include full name, phone number, and relationship to child):

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