REGISTRATION
This kids ministry group is a high energy group for all youth in grades K-6th!
This group run every Wednesday night from 6- 7:30 pm
Event Address: Winner United Methodist Church - 301 W 4th St. - Winner, SD 57580
Contact us at (605) 842-0854 - or email umcgrowkid@gmail.com
Parent/Guardian Name: *
Email *
Phone Number *
Address: *
Emergency Contact Info: *
Child #1 Name: *
Child #1 Grade Entering: *
Child #1 Birthday: *
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Child #2 Name:
Child #2 Grade Entering:
Child #2 Birthday:
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Child #3 Name:
Child #3 Grade Entering:
Child #3 Birthday:
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Child #4 Name:
Child #4 Grade Entering
Child #4 Birthday:
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Any allergies or medical information we should be aware of? *
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