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Fourth R Summer 2024
This is a sign-up sheet for children ages 13-18 to participate in Fourth R. We are offering this program at UCC church in Woodstock on Mondays and Wednesdays 10-11. Start date is June 10th and end date is July 24th. Parents do not need to stay while we are in group.
Please email savannahm@responseva.org with any questions!
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Name of Parent
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Phone number or Email of Parent
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Your answer
Name of Child
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Your answer
Age and Grade of Child
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Your answer
How will your child be participating?
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In-Person
Zoom
Does your child have allergies?
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Yes
No
Emergency Contact Information for Child
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