Henry Raab Kids For Christ Registration Form

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Who: Henry Raab Elementary Students K through 6th Grade

What: A non-denominational Bible based after-school program

When: Wednesdays, March 6th, 13th, 20th after school until 4:00

Why: We teach the truth & hope found in the Bible. This basic foundation of faith will help children their entire lives.

How: Submit 1 registration form below for each child attending or print and complete the registration form and return to the Coordinator.

Henry Raab Kids For Christ Registration Form Spring 2024

Child's First Name *

Child's Last Name *

Grade *

School Teacher

Parent/Guardian Name *

Street Address *

Home Phone Number

Cell Phone Number

Email Address

Emergency Contact Name (2:30pm-4:00pm) *

Emergency Contact Phone Number (2:30pm-4:00pm)
*

Will your child walk home? *

Yes

Required

Allergies/Special Concerns *

Yes

Required

If yes, please explain

I would like to:

Volunteer

Donate Snacks

Does your child have a bible at home?

Yes

Please check if you DO NOT want a photo of your child to be used in newspaper articles, newsletters, or on our Kids For Christ Website or facebook page.

By typing my name below, I give my child permission to attend the after-school Kids For Christ Bible Study. I understand I must confirm all Bible Study plans with his/her school teacher in advance. I assume all risks and hazards incidental to Bible Study participation. *

I agree to the statement above.

Required

Parent Signature *

Date Signed *

YYYY

This program is entirely voluntary and not affiliated with School District #118.

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