KidsMania 2019/2020 Programs Registration
Information provided is confidential and is being gathered for the purpose of serving your child while in the care of Devon Community Church. Any medical information collected here serves to authorize Devon Community Church, and its staff or volunteers, to obtain medical assistance in emergencies.
This form is required for all children between the ages of 3 and Grade who are attending KidsMania Programs for the 2019/2020 program year.
Parent/Guardian Information
Parent/Guardian Name(s) *
Your answer
Phone Number *
Your answer
Alternate Phone Number
Your answer
Email *
Your answer
Address *
Your answer
Are there any custody concerns we should be aware of that will help us keep your child safe?
Your answer
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