TEAMKIDS Enrollment Information Form
Team Kids Information:

First Baptist Church, 413 Center Street, Lathrop

Wednesdays 6:00PM - 7:30

Snacks will be provided

October 7th, 2020 through April 28, 2021

**Please note: Any time the school has been canceled, for any reason, TEAMKID will also be canceled.
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Email *
First Name of Child: *
Last Name of Child: *
Child's Birthdate: *
MM
/
DD
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YYYY
Street Address: *
City: *
State: *
Zip Code: *
Name of Parents or Guardians: *
Home Phone Number: *
Cell Phone Number: *
Food Allergies/Medical Info Needed: *
Child's Current Grade: *
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