Messy Family Childcare Registration

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  We look forward to seeing you at Messy Family University on October 11 and 12. Please use this form to register for childcare! The cost is $10 per child (Friday only); $20 per child (Saturday only); or $30 per child (Friday and Saturday). ($65 family max)
  
  Parent name REQUIRED Please fill out this field. Please enter valid data.
  
  Cell phone number REQUIRED Please fill out this field. Please enter valid data.
  
  Email address REQUIRED Please fill out this field. Please enter valid data.
  
  Names and ages of children needing childcare REQUIRED Please fill out this field.
  
  Days childcare is needed REQUIRED Friday only Saturday only Friday and Saturday Please fill out this field.
  
  Snacks and lunch for children on Saturday are included. Please let us know of any dietary restrictions/allergies.
  
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