Douglas Kids For Christ Registration Form Spring 2024
Who: Douglas Elementary Students Kindergarten through 6th Grade

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

When: Thursdays- April 11th, 18th, 25th and May 2nd from 2:55 - 4:30 pm. 4 Weeks. There will be a program on the last evening May 2nd at 4:15pm. 

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. If you have any questions contact Jane Peters 618-406-7607.


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Douglas Kids For Christ Registration Form Spring 2024
#1 Child's First Name *
#1 Child's Last Name *
Grade *
School Teacher *
#2 Sibling's First and Last Name
Grade
Clear selection
#2 Teacher's Name
#3 Sibling's First and Last Name
Grade
Clear selection
#3 Teacher's Name
Parent/Guardian Name *
Street Address/Zip code *
Cell/Home Phone Number *
Email Address
Emergency Contact Name and Phone Number (3pm-4:30pm) *
Will your child go to latchkey after Kids For Christ *
Required
Allergies/Special Concerns *
Required
If yes, please explain for each child
I would like to:
Does your child have a bible at home?
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. *
Required
Parent Signature *
Date Signed *
MM
/
DD
/
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This program is entirely voluntary and not affiliated with School District #118.

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