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ORGANIZATION OF CHINESE AMERICANS OF FAIRFIELD COUNTY
Please Complete For Registration
Parent First & Last Name
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Email
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Mobile Phone
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Second Parent or Guardian
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Emergency Contact
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Emergency Contact Telephone
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Student First & Last Name
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Please let us know about any Medical Information we should know about this student (i.e. allergies, disabilities, etc.)
Grade Entering in September
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Birthday
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School Attending
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Your Address
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