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PARENT'S INFORMATION


 

 

 

 

 

 

 

 

CHILD'S INFORMATION

 

 

 

 

 

 
ADDITIONAL APPLICANT(S)

CHILD'S INFORMATION
 

 

 

 

 

 

 
Payment Method

 
Payment Amount

 

May we have premission to use your child for publicity via website or advertising?

 
I/We agree to the Bite Me Corner Terms & Conditions.
 
I/We agree to allow The Bite Me Corner to use the information filled out in this application for booking and administration use only.

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