New Family Check-Ins
Adult Contact Information
Name *
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Cell Phone *
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Email Address *
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Child #1 Information
Name (First and Last)
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Birthday
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DD
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YYYY
Grade
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Child #2 Information
Name (First and Last)
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Birthday
MM
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DD
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YYYY
Grade
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Child #3 Information
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Birthday
MM
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YYYY
Grade
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Child #4 Information
Name (First and Last)
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Birthday
MM
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DD
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YYYY
Grade
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Child #5 Information
Name (First and Last)
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Birthday
MM
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DD
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YYYY
Grade
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Medical Notes
Does your child(ren) have any medical notes that we need to be aware about. If so list below:
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Media Release
Do you give permission for your child(ren)'s photos/videos to be published on Journey's websites(includes Facebook) and/or for church related material. Your child(ren)'s name will not be identified on these sites. *
Tag #
Entered in by Journey's Welcome Team
Tag Identification
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