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Preschool Registration Form

Student·s Name:________________________________________________________________
Address:________________________________________________________________________
Guardian Contact Info.:________________________________________________________
Guardian Contact Info.:________________________________________________________
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List any allergies, medical concerns, or special needs your student might have:
_________________________________________________________________________________
_________________________________________________________________________________

I, ___________________________________________________, do hereby agree to allow

my student, _______________________________________________, to participate in
Storybook Adventures Preschool and further agree to indemnify and hold
harmless said preschool from all harm, accidents, personal injury, or property
damage arising out of, or in any way connected with participation in the
preschool. I also allow Saddie Gubler to treat aforementioned student
following First Aid protocols.
Guardian Signature:________________________________________________________

$15 Registration fee paid