Dorris Intermediate Foundations Registration Form

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Who: Dorris Intermediate Students 5th & 6th Grade

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

When: Mondays, April 8th, 15th, 22nd, 29th, and May 6th Time: After School until 5pm
Where: In Classroom 112 at DIS

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.

Dorris Foundations Registration Form Spring 2024

Child's First Name *

Child's Last Name *

Grade *

School Teacher *

T-Shirt Size *

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Adult XL

My child has received a shirt

Parent/Guardian Name *

Street Address *

Home Phone Number *

Cell Phone Number *

Email Address *

Emergency Contact Name and Phone Number (3pm-5pm) *

Allergies/Special Concerns *

Yes

Required

If yes, please explain

Would you be interested in donating snacks, bottles of water, or money to purchase them? *

Yes, I would love to.

I am unable at this time

Other:

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

By typing my name below, I give my child permission to attend the after-school Bible Study. 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 #10.

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