22'-23' Family Information Card

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Let's get you connected with Uptown Kids! Please fill out this form to register your children for Uptown Kids Sunday Mornings and/ or Uptown Kids Wednesday AWANA. A fresh form is needed at the start of each new academic year to make sure that your family's information is up to date. Once you've filled out all the sections for your child, you can skip to the end to submit the form.

Email *

Today's Date *

YYYY

What is your full name as the Parent or Guardian? *

What is your relationship to the child? *

Please list another Parent or Guardian for the child if there is one.

What is the above Parent or Guardian's relationship to the child?

What is your address? *

What is your cell phone number? (If we need to contact you during our programming, we will do so via text message. Please have your cell phone accessible and on vibrate.) *

Would you like to opt into text messaging from the Washington Alliance ministries in which you are invovled?

Yes

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By checking in your child, you hereby give permission for images and videos of your child that may be captured during their experiences for the purpose of Washington Alliance training, promotional material, and publications and waive any rights of compensation or ownership thereto. If you child is not permitted to have his/her photograph taken for these purposes, please check the box below.

My child is NOT permitted to have his/her photograph taken for these purposes.

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