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Hope Community Chapel Registration Form
This form will register your children for Hope Community Chapel's Children & Youth Ministries
What Event Are You Registering For?
Name of Child(ren) / Student (s) + Age(s)
Your answer
Parent / Legal Guardian Name and Information + Emergency phone number.
Your answer
Any Allergies (food or physical)
Your answer
Any Important Issues we should know about?
Your answer
Doctor's name and contact information with Insurance Numbers:
Your answer
Do we have your authorization to treat in an emergency?
Do you give permission to attend Hope Community Chapel's EVENT?
Please type below you give permission and include your full legal name and date. (EX) I give my child's name permission to attend this event. Joe Shmoo, 2/22/2020
Your answer
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