Child/Student Info
Approved Workmen Are Not Ashamed! (2 Timothy 2:15)
Child's Name *
Your answer
Gender *
Address *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Current Age (at time of registration) *
Your answer
Current Grade (2019-20 school year) *
T-shirt size *
Allergies or medical concerns we should know about? (Please be specific)
Your answer
Siblings (Name/Age)
Your answer
Brought by:
Your answer
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This form was created inside of Surry County Schools.