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Welcome to Dynamo Kids!
Register
Please fill out the form below to register.
First name
Last name
Child's first name
Child's last name
Child's birthdate
Is the child Hispanic/Latino?
Hispanic
Not Hispanic
Child's Race
White
Black/African American
Asian
Native American
Other (please specify)
Your phone number, e.g. 713-555-1212
Your email address
Your language preference
choose one
English
Spanish
Contact preference
choose one
text
email
both
Clinic
choose one
CHMG (Medical District-Children's Main Dallas Campus)
Other
Password
Confirm password
Submit and Register
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