Calvary Kids Registration
400 Washington St Hamburg, AR
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PARENT/GUARDIAN First Name *
PARENT/GUARDIAN Last Name *
PARENT/GUARDIAN Phone Number *
Mailing Address *
PARENT/GUARDIAN Email *
Adults allowed to pick up my child(ren). FIRST & LAST Name: Please note that children will only be allowed to leave with an adult that has been consented by the parent/guardian. *
Emergency Contact: FIRST & LAST Name & Phone Number if you are unavailable. *
CHILD 1 First Name *
CHILD 1 Last Name *
CHILD 1 DOB *
MM
/
DD
/
YYYY
CHILD 1 Grade Level *
Required
CHILD 1 Allergies (If none, then put NA) *
CHILD 1 Any special information needed for the teachers?
CHILD 1- Compassion Project Choice (Please note that some projects have certain grade level requirements. If your child chooses a project outside their grade level, they will be reassigned to their age appropriate class.) *
Do you have another child to register? *
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