QuestionareDC | IrenCR

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Register your child to the IREN Day Care

Gaurdian 1 First Name

Gaurdian 1 Last Name

Gaurdian 1 Phone Number

Gaurdian 1 Email

Gaurdian 1 Relation to child

Gaurdian 2 First Name

Gaurdian 2 Last Name

Gaurdian 2 Phone Number

Gaurdian 2 Email

Gaurdian 2 Relation to child

Child 1 First Name

Child 1 Age

Child 1 Last Name

Child 1 Grade

Allergies and Side Notes

Child 2 First Name

Child 2 Age

Child 2 Last Name

Child 2 Grade

Allergies and Side Notes

Child 3 First Name

Child 3 Age

Child 3 Last Name

Child 3 Grade

Allergies and Side Notes

Select Form of Payment

Cash

Bank Transfer

Any Questions?

Instituto Renacimiento Jurídica N° 3-002-780325 Email: irencostarica@gmail.com Tamarindo, Guanacaste, Costa Rica