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Emmanuel's DELTA Club K-8th
Disciples Equipped for Life, Transformation and Action
Child's Name
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Age
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Grade
Date of Birth
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T-Shirt Size
Allergies or other health concerns
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Parent/Guardian
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Address
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Phone Number where you can be reach during DELTA Club
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Alternate Contact Name
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Relationship to Child
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Phone Number
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My Child
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When leaving DELTA Club.. (We would like students that are in K-2nd to be picked up inside by parent or older sibling before we will dismiss them. K-2nd meet in the church basement.) .
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Parent/Guardian (electronic signature)
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Date
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