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Parents Afternoon Out (PAO)
Please register each child seperately for PAO. PAO is on December 10th from 3pm - 7pm. During PAO your child will be involved in activities including games, crafts, and movies. Dinner will be served at 5pm. Copy of child's medical insurance card required at sign in for PAO.
Last Name
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First Name
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Date of Birth
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Grade
Address
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Parent(s)/Guardian(s) Name
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Phone
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Email
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Emergency Contact / Relationship to child
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Emergency Phone
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In the event of medical or minor injury, do you give Hilldale UMC staff and volunteers permission to obtain medical treatment as deemed necessary and release them from any legal and financial obligation. Every effort will be made to contact you in the event of an emergency.
Other Adults who are Authorized to pick your child up
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Any Adults who are NOT Authorized to pick your child up
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Any Health concerns to include allergies
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Can your child have a dinner provided by the church? Grilled cheese, apples, pretzels, cookie
I give Hilldale UMC representatives permission to photograph my child and publish event activity photos to be posted at church and on church media pages ONLY. No personal information for the child will be listed.
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