CHAOS 2023-2024 Student Information Form
Please fill out the following form for the 2023-2024 year. This form will cover information needed for weekly classes, events, trips and bus transportation.
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First and Last Name of Student *
Please Select One: *
Grade *
Student Cell Phone Number(if applicable) *
Complete Address
(Street Address with
Apartment #, City, Zip, SC)
*
Birthday(mm/dd/yyyy) *
Allergies(food and medical) *
Parent/Guardian Name
First and Last
*
Parent /Guardian Phone Number *
Does your student have permission for their picture to be posted on our Church Social Media ONLY? *
Does your student have permission to ride the bus driven by a legal adult driver insured by College Street? *
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