Soul Sessions Registration Form

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Who: West Jr. High Students, 7th and 8th Grade

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

When: Wednesday's, January 17th, 24th, 31st 2024 after school until 4:30 pm.

Where: Mrs. Karf's room

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. Please remember to hit "submit" at the end of the form. If you have any questions, please contact Jane Peters 618-406-7607.

Soul Sessions Registration Form Spring 2024

Child's First Name *

Child's Last Name *

Grade *

School Teacher *

Parent/Guardian Name *

Street Address *

Home Phone Number

Cell Phone Number *

Email Address

Emergency Contact Name and Phone Number (3:05-4:30pm) *

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 our Kids For Christ Website or facebook page.

My child has persmission to walk home after the program.

Yes

By typing my name below, I give my child permission to attend the after-school Soul Sessions 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 #118.

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