GROW 3:18 REGISTRATION FORM
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Parents Name
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Parents Name
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Email
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Address
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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
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Child's Name
*
Your answer
2019-2020 Grade
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Nursery
Preschool
K
1st
2nd
3rd
4th
5th
Age
*
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Birthday
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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
Nursery
Preschool
K
1st
2nd
3rd
4th
5th
Clear selection
Birthday
MM
/
DD
/
YYYY
Age
Your answer
Allergies Concerns- Write none if there are none
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Child 3 Name
Your answer
2019-2020 Grade
Nursery
Preschool
K
1st
2nd
3rd
4th
5th
Clear selection
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
Preschool
Nursery
K
1st
2nd
3rd
4th
5th
Clear selection
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:
Sunday School Classroom Teacher
Sunday School Classroom Aide
Sunday School Teacher or Aide Substitute
Planning of events ie. Christmas Party, Easter Egg Hunt
Help with Operation Christmas Child
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.
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Signature
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