Freeburg Primary Center                                            Kids For Christ Registration Form
Who: Freeburg Primary Center Students Kindergarten through 2nd Grade

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

When: Tuesdays, April 2nd through April 30th, from school dismissal until 5:00 PM

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 paper registration form and return to the Coordinator, Stephanie Ketchum, sjketchum5@gmail.com. 

Please plan to join us for our closing program on Tuesday, April 30th, at 4:45 PM.


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Freeburg Kids For Christ Registration Form Spring 2024
Child's Last Name *
Child's First Name *
Grade *
School Teacher *
Parent/Guardian Name *
Street Address *
Home Phone Number
Cell Phone Number
Email Address *
Emergency Contact Name and Phone Number (3pm-5pm) *
Allergies/Special Concerns *
Required
If yes, please explain
I would like to:
Does your child have a Bible at home?
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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. *
Required
Parent Signature *
Date Signed *
MM
/
DD
/
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This program is entirely voluntary and not affiliated with School District #70.
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