WoL Summer Enrichment Program Registration Form
Online registration form for 2023 Summer Enrichment Program for children ages 4 -18. This program is for the week of Monday, June 5th - Friday, June 9th 6:00AM - 8:00PM (Bible Study on Wednesday, June 7th 7:30PM - 8:30PM). Please fill-in this registration form if you would like to enroll your child/children into this summer program.
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Name of child (you can list more than one child)
Child date of birth (you can list more than one child DOB)
Address:
Parent(s)/Guardian name:
Cell Phone #:
Daytime Phone#:
Name and phone number of emergency contact person just in case of an emergency. Their relationship to child. (Do not list parent/guardian of child).
Emergency hospital preference:
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Do your child have any food allergies and/or medical condition we need to be aware of: (if so, please explain)
Who has permission to pick your child up if you are not available.
What day(s) will your child be attending the Summer Enrichment Program (GW): *
Required
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