Harrisburg Kids For Christ Registration Form

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Who: Harrisburg Elementary Students Kindergarten through 5th Grade

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

When: Fridays, March 1st, 8th, 15th & 22nd 2024, from after school 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.

Closing Program: Please join us Friday, March 22nd at 4:45 pm for our closing program.

Harrisburg Kids For Christ Registration Form Spring 2024

My child attends East Side

My child attends West Side and has permission to be bussed to East Side after school

My child attends West Side and I will transport him/her to Kids for Christ

Child's First Name *

Child's Last Name *

Grade *

Teacher Name *

Parent/Guardian Name *

Street Address *

Home Phone Number

Cell Phone Number *

E-Mail Address *

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

Allergies/Special Concerns

Yes

Clear selection

If yes, please explain

I would like to:

Volunteer

Donate Snacks

Clear selection

Does your child have a bible at home?

Yes

Clear selection

Please check if you DO NOT want a photo of your child to be used in newspaper articles, newsletters, on the Kids For Christ Website, or on our 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 #3.

Submit

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