Club 56 Registration for 2018-19
Name (First and Last)
Grade level as of September 2018
Names and address/es of parents
Preferred Phone Number
Parent's email addresses
Emergency contact (name and phone number)
What is the child's relationship to the emergency contact?
Initial here to provide permission for Zion to use any pictures taken of your child in the church newsletter, website or facebook pages
Is there any additional information you would like the staff at Zion to be made aware of?
Parent Volunteer Form
Small Group Leader, full-time
Small Group Leader, half-time
Substitute Small Group Leader
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