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Thursday Bible School Application
Email address *
Child's Full Name *
Age *
Sex *
Date of Birth *
Address *
Primary Phone Number *
Home Phone Number
Mother's Name *
Mother's Cell Phone Number
Mother's Employer and Work Phone
Father's Name
Father's Cell Phone
Emergency Contact Name and Relation to Child, if parents can't be reached *
Emergency Contact Phone Number *
List all other persons authorized to pick up your child *
Do we have your permission to post pictures of your child on social media? *
In the event that I cannot be reached to make arrangements for emergency medical care at the time of illness or accident, I hereby authorize Thursday Bible School to take my child to the following physician (with Phone Number) and/or hospital. *
Does your child have any allergies (food, medicine, etc.)? *
Does your child have any special interests?
Does your child have any unusual dislikes?
Does your child cry easily?
Is he/she shy?
Is he/she overly aggressive?
Has your child had the opportunity to play with other children frequently?
Hygiene: Is your child:
Does your child have any particular behavioral habits (biting fingernails, sucking fingers, etc)?
List participation in group activities (Sunday school, singing, etc.)
Other comments about your child:
Please type your full name below to sign: *
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