GROW 3:18 2019-2020 REGISTRATION FORM
Parents Name *
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Parents Name
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Email *
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Address *
Your answer
Preferred Phone Number *
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Emergency Contact
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Emergency Contact Phone #
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Others with permission to pick children up: Siblings must be 6th grade or older
Your answer
Child's Name *
Your answer
2019-2020 Grade *
Age *
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Birthday *
MM
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DD
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YYYY
Allergies Concerns- Write none if there are none *
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Child 2 Name
Your answer
2019-2020 Grade
Birthday
MM
/
DD
/
YYYY
Age
Your answer
Allergies Concerns- Write none if there are none
Your answer
Child 3 Name
Your answer
2019-2020 Grade
Birthday
MM
/
DD
/
YYYY
Age
Your answer
Allergies Concerns- Write none if there are none
Your answer
Child 4 Name
Your answer
2019-2020 Grade
Birthday
MM
/
DD
/
YYYY
Age
Your answer
Allergies Concerns- Write none if there are none
Your answer
Please indicate which areas you might be willing to serve in:
Permission to Photograph
We would like to use group photos of your child in our monthly publications, website and Facebook. Names would not be used to identify the children. Please sign below to show that we have your permission.
Yes or No *
Signature *
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