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Parent Contact Information
First Name
Last Name
Email
Phone Number
First Name
Last Name
Gender
Male
Female
Grade Just Completed (or age if not yet in school):
Age 4
Age 5 / Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Allergies (if any)
Medical Concerns (if any)
Class Requests
Please select your top two choices. These are requests only and are not guaranteed.
Woodshop
Crafts
Games
Cooking
Emergency Contact
First Name
Last Name
Phone Number
Church Affiliation
Church Attended (if any)
Photo / Video Release
By attending this event, you acknowledge that photographs and/or video may be taken and may be used by the church for promotional purposes, including on our website.
Family Night
Will your family attend family night on Friday?
Yes
No
How many people will attend?
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