Room Sign 2024

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Date: Room:

Child’s Name: Can Your Adult Name:


Child 9:0 11:0
(First and Last) 0 0 Cell
Have Potty
Cheerios? Trained Phone# Allergies
1 Yes No Yes No Yes No
2 Yes No Yes No Yes No
3 Yes No Yes No Yes No
4 Yes No Yes No Yes No
5 Yes No Yes No Yes No
6 Yes No Yes No Yes No
7 Yes No Yes No Yes No
8 Yes No Yes No Yes No
9 Yes No Yes No Yes No
10 Yes No Yes No Yes No
11 Yes No Yes No Yes No
12 Yes No Yes No Yes No
13 Yes No Yes No Yes No
14 Yes No Yes No Yes No
15 Yes No Yes No Yes No
16 Yes No Yes No Yes No
17 Yes No Yes No Yes No
We have reached capacity!
Please see a coordinator for a safer
room!
Thank you!

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