Clark Cheerleaders Parents Night Out Fundraiser! **Date:** December 13th **Time:** 6:00 PM - 9:00 PM **Location:** Clark High School Gym **Cost:** $35 per child

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#1	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies	copy
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#4	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#5	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#6	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#7	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#8	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#9	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#10	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#11	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#12	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
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#15	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#16	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#17	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#18	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#19	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#20	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies
#21	Child's Name Parent's Name and Contact Information Emergency Contact - Include name and phone number Please list any known allergies