La Vista Children's Ministry Child Info
Please submit one form for each child
Child's Name *
Your answer
Parent/Guardian Name(s) *
Your answer
Parent phone *
Your answer
Parent email
Your answer
Preferred contact (choose at least one) *
Required
Mailing Address (Street, City, Zip Code)
Your answer
Child's Grade/Age *
Your answer
Child's Birthday
MM
/
DD
/
YYYY
Does your child have any allergies? *
Your answer
Who, besides you, may pick up your child from class? *
Your answer
Are there any other issues your child's teacher(s) should be aware of?
Your answer
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