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Faith Weaver Friends Registration
Begins September 4th at Zion Lutheran Church
5:00 - 6:45 pm - drop off and pick up at South Church entrance
Please contact Laura Ahlers with questions or comments at lauraa@ptcnet.net
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email *
Your answer
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Grade *
Your answer
Child's Birth Date *
MM
/
DD
/
YYYY
2nd Child's First Name
Your answer
2nd Child's Last Name
Your answer
2nd Child's Grade
Your answer
2nd Child's Birth Date
MM
/
DD
/
YYYY
3rd Child's First Name
Your answer
3rd Child's Last Name
Your answer
3rd Child's Grade
Your answer
3rd Child's Birth Date
MM
/
DD
/
YYYY
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
I would like to help with Faith Weaver Friends by *
I give the staff at Faith Weaver Friends permission to administer medical attention to my child and to post their photograph on Facebook. I understand that names of children will not be posted. *
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