Care Buddies Interest Form | National Pre-Medical Association

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Parent/Guardian Interest Form

First Name

Last Name

Email

Hospital/School Affliation

How many kids do you need childcare help with? What kind of activities would you like our care buddies to do with them?

What days and times do you need help from our care buddies?

Do your kids have any special needs, ex: medication, we should be aware of?

Is there anything you would like us to know?

Thanks for submitting! We will be in touch shortly.

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National Pre-Medical Association is a 501(c)(3) nonprofit organization, EIN 85-1737579. Donations are tax-deductible.

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