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KITTY'S NEW BOOK
1
Parent/Guardian Full Name
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First Name
Last Name
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2
Email Address
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example@example.com
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3
Phone Number
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Please enter a valid phone number.
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4
Child's Full Name
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First Name
Last Name
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5
Child's Age
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Please Select
9-11
12-13
14-15
Please Select
Please Select
9-11
12-13
14-15
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6
Permission Granted
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I, the undersigned, grant permission for my child to participate in the Book Forum organized by Kitty Arceneaux. I also understand that pictures may be taken and used for media purposes.
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