Grace Kids' Club
June 12 - 14th // 9am until 12:30pm // No cost
Child's Name *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Parent/Guardian E-mail *
Your answer
Parent/Guardian Phone *
Your answer
Please list any food allergies or other medical conditions that we need to be aware of for your child. *
Your answer
Emergency contact name & phone number (other than parents/guardians) *
Your answer
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