Wacky Wednesday Form | crawford-co-museum

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Parent(s) Names

Phone Number(s) to be Reached at Between 11am-Noon

Emergency Contact and Phone Number

Does the child have any food allergies?

Yes

No

Please list food allergies, if any. Any other medical concerns?

I DO NOT want my child to appear in any photo that may be released for promotional purposes.

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Museum Funded in Part by:

Board of Crawford County Commissioners