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Song & Sword Kids Registration
Hello!! If your child is planning to attend Song & Sword kids starting on Sunday, September 10th, please complete this form so we have all the necessary information. 
If you have multiple children, please complete a form for EACH CHILD.
Please reach out to Stephanie Shifflett, Children's Pastor at if you have any questions or concerns.
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Email *
First name of child:  *
Last name of child:  *
Child's age (birthdate) and grade (if applicable): *
Name(s) of parents or guardians: *
Phone number of parent/guardian: *
Parent/guardian email address:  *
Child’s address: *
Name of person(s) authorized to pick up child and their relationship to the child: 

Does your child have any known allergies?  *
If your child has known allergies, please list them below:
Does your child have special needs that we should know about?  *
If your child has special needs that the team needs to know about, please include that information below:
What class will your child be in?  *
I give permission for Song & Sword to take photographs and / or video of my child. I grant full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes. *
Any other information the team should know about your child:
A copy of your responses will be emailed to the address you provided.
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