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Redemption Hill Adventure Club
Pre-register your children who plan on attending Adventure Club. Please complete one form for each child attending.
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* Indicates required question
What is Your Child's Name?
*
Your answer
What is your child's date of birth?
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MM
/
DD
/
YYYY
What grade is your child in?
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Your answer
What school does your child attend?
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Your answer
What is your Street Address?
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Your answer
What Town ?
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Your answer
What State
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Your answer
Zip Code
*
Your answer
Parent's Name
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Your answer
Parent's Email
*
Your answer
Parent's Cell Phone
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Your answer
Name of Alternate Emergency Contact
*
Your answer
Child's relationship to the Alternate Emergency Contact?
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Your answer
Cell Phone of Alternate Emergency Contact
*
Your answer
What church do you attend?
*
Your answer
What food allergies or special medical needs should we be aware of?
*
Your answer
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