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Jump Start Plus is partnering with Communication Junction to bring Sign and Play Story Times to Jump Start Plus on the third Monday of every month this summer! At a Sign and Play Story Time you will learn 2-5 signs, sing songs, listen to stories, free play in the gymnastics area and everyone's favorite BUBBLES!

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

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Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	School:	Grade Level:
	List any known allergies/allergic reactions::
	List any Medications::
	Primary Doctor's Name & Phone # & Date of Last Exam:*
	List any previous surgeries:
	List any previous broken bones:
	List any other health concerns:

Additional Information: