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Reynolds' Kids After-School Program
Monday - Friday from 3:30 - 5:00 PM; Beginning August 12th 
Grades 1st - 5th 
Transportation provided from RCES to Reynolds
Reynolds Memorial Baptist Church 
3748 Sperryville Pike, Sperryville, VA 22740
Contact Pastor Randy Clark at (540) 631-4063 or lewis631clark@gmail.com  
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Child's Name *
Child's Grade *
Required
Parent's Name *
Parent Phone Number *
Parent Email *
Will your child be riding the school bus to the church? *
Required
Who has permission to pick up your child? *
Does your child have any food allergies? If so, please list. *
In order to know your child better, please write below what you would like the volunteers to know about your child. 
If you are interested in volunteering with Reynolds' Kids, please contact Pastor Randy at lewis631clark@gmail.com.
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