NorthRidge Sabetha VBS Registration 2019
Please fill out one for each child.
Child's Last Name
Child's First Name
Grade (entering in Fall)
May we send text messages to this number in the case of an emergency?
Emergency Contact Name
Emergency Phone Number
List of the names of anyone else who may pick up your child:
I give permission for my child's photo to be used by NorthRidge Church.
Please list any special concerns:
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