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2024 Summer Youth Program Registration Form
Please fill out this form to register your child for the 2024 summer programs offered at Saving Grace Lutheran Church. One form per child. Contact Melissa (savinggraceeducation@gmail.com) with questions.
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* Indicates required question
Email
*
Your email
Child's Name (First and Last)
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Child's Grade (in Fall)
*
Your answer
Child's Address
*
Your answer
Child's Allergies or Medical Concerns
(enter "none" if there are no concerns that staff need to be made aware of)
*
Your answer
Parent Name(s)
*
Your answer
Parent Address
(only required if different from child's home address)
Your answer
Parent Phone Number
*
Your answer
Emergency Contact Information
(Name, relationship to child, phone number)
*
Your answer
Summer Programs (Select all that apply)
*
Preschool (ages 3-5) One Day VBS - June 26th 10am - noon
Elementary (grades K -5th) PARABLE BITES - June 17-20th 9:30am - 11:00am
Elementary (grades K -5th) VACATION BIBLE SCHOOL - June 24th & 25th 9:00am - Noon
Middle School & High School (grades 6-12) TEEN WEEK- June 17-20th 1:00pm - 3:00pm
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