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Summer Miracles® Host Family Report 2010 Week 2

Please complete a separate form for each child that you are hosting.
   
   
 


 
 



 
   
   
 


 
   
   
   
   
 




 
   
 



 
   
   
   
   
   
   
 

 
   
   
   
   
 

Please send us photos of the child. Send to
Kidsave,
5165 MacArthur Blvd., NW,
Washington, DC 20016.

 
   
   
 

A copy of this completed questionnaire will be sent to Kidsave. 
You will also receive a confirmation copy by return E-mail for your records.

 
   
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