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Kid's Ministry Registration Form (Kindergarten - 5th Grade)
Child's First Name
Name Goes By
Child's Last Name
List any known allergies / food allergies your child may have:
List any medical conditions or physical limitations your child may have:
Mother/Guardian Phone #
Father/Guardian Phone #
Provide the first and last name of other people who have your permission to pick up your child (this includes older siblings):
Are there any learning or educational concerns that would help us serve your child better?
My child has permission to attend Wednesday Night BREAKOUT.
My child has permission to attend Sunday morning Kid's Time.
My child has permisson to attend BOTH.
I give permission for my child to be photographed for possible use in church media and printed materials.
Please do not photograph my child.
By typing your name you are electronically signing this form.
Something for Everyone
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