Kid's Easter JAM 2020

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Please complete this form for each household

Name of 1st child participating in this spring program (first and last) *

Please provide your address *

Please provide your preferred email address for ZOOM and necessary program information *

Child's Grade (indicate which grade they are currently in) *

Name of 2nd child participating in this spring program (first and last)

2nd Child's Grade (indicate which grade they are currently in)

Name of 3rd child participating in this spring program (first and last)

3rd Child's Grade (indicate which grade they are currently in)

Name of 4th child participating in this spring program (first and last)

4th Child's Grade (indicate which grade they are currently in)

Activity packets are provided for this interactive program. Please indicate your availability to pick-up the packet(s) at the front entrance of Grace on Thursday, March 4th between 6 pm - 7 pm. *

I am able to pick up the packet(s) on March 4th

I am unable to pick up the packet(s) and require assistance in receiving the materials

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