Discussion Group; Letter to a Suffering Church
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Please select the discussion time you plan to attend: *
Parent Name *
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Email *
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Phone number of contact during care (the parent or guardian remaining on site during childcare) *
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Phone number for emergency contact (other than parent on site)
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Please list all of your children attending in the space below. We will email you with follow up questions and further information after reviewing your submission. This sign up is to ensure we have enough materials and supervision in place.
Child Name / age
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Which of the following describes your children?
Which of the following describes your children?
Do any of the above children have any special needs or allergies we should be aware of?
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We are very excited your children will be joining us! Please expect an email to confirm their attendance. If you have not received any further information in the next 2 business days, please email jeni@divinemercyks.org to inquire.
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