Presby Kids Club- Easter Party: Kindergarten to 5th Graders: Saturday, April 19th - 10:00 to 11:30AM (Registration is required to prepare supplies.)

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Participant Registration Form (One Per Child)

Child's Name *

Grade Entering *

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Name of Parent(s) *

Phone Number 1 *

Phone Number 2 *

Email Address *

Allergies or Other Medical Conditions *

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact- Relationship to Child *

First Presbyterian Church of Effingham has my permission to use my Child's photograph publicly in church materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

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