Smithton Kids For Christ Registration Form

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Who: Smithton Elementary Students Kindergarten through 6th Grade

What: A non-denominational Bible based after-school program
When: Wednesdays, February 21st through March 20th from 2:15 pm until 4:30 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.

Smithton Kids For Christ Registration Form Spring 2024

First Name *

Last Name *

Grade *

Teacher *

Parent/Guardian Name *

Home Phone #

Cell Phone #

Emergency Contact Name and Phone # (Between 2:15 p.m. and 4:30 p.m.) *

Will your child go to Cougar Care after Kids For Christ *

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 the 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 #130.

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