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Enrollment form
We welcome all the little children of the world.
Personal Information
Today's Date
Child's Birthday
Parent/Guardian First Name
Parent/Guardian Last Name
Child First Name
Child Last Name
Sibling's Name(s) and Age(s)
Address 1
Address 2
Ciy
State
Zip/Postal Code
County
Phone Number
Email Address
Would you like to receive emails regarding children's ministry news?
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Please list any allergies your child has:
Education Information
Name of Child's School
Present Grade
Has your child previously been a part of a church or ministry?
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No
Is there anything that you would like to share that would aid the teaching team as they minister to your child?
Emergency Contact
First Name
Last Name
Relationship to child:
Address 1
Address 2
City
State
Zip/Postal Code
Phone Number
Email Address:
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