KUMC Young Explorers 2017-2018
Young Explorers is a Mom's Morning Out program for kids of all ages! We will explore the world through art, science, cooking, games and more! We meet from 9:00am-1:00pm select Fridays. We will provide a snack, please send a lunch with your child. Cost is $20 for one child/$15 for each additional.
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Child's Name
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Child's Birthdate
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Grade Level Fall 2017
Does this child have any allergies or special needs?
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Child #2 Name
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Child #2 Birthdate
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Child #2 Grade Level Fall 2017
Child #2 Allergies or Special Needs?
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Child #3 Name
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Child #3 Birthdate
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Child #3 Grade level Fall 2017
Child #3 Allergies or Special Needs?
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Parent's Name
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E-mail Address
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Parent's Address
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Parent's Phone Number
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Emergency Contact #1
Please list someone other than parent listed above
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Emergency Contact #1 Phone Number
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Emergency Contact #2
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Emergency Contact #2 Phone Number
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Emergency Medical Consent-Please e-sign and date your acceptance or denial below.
I authorize a representative of Kennesaw United Methodist Church to transport and give consent for any and all emergency medical care for my child while he/she is in the custody of the church.
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Photo Consent-Please e-sign and date your acceptance or denial below.
My child has my permission to have their picture taken and the unidentified photo may be used in any church printed materials. These may also be used for publicity purposes.
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Which dates would you like to register for?
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