Elverado Intermediate Registration Form

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Who: Elverado Elementary Students K through 5th Grade

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

When: Mondays, April 22nd, 29th and May 6th, 13th after school till 4pm

Where: Elverado Primary School

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.

******NO FEE TO ATTEND******

Elverado Elementary Kids For Christ - Spring 2024

Child's First Name *

Child's Last Name *

Grade *

School Teacher *

Parent/Guardian Name *

Street Address, City, state and zip code *

Home Phone Number

Cell Phone Number *

Email Address *

Emergency Contact Full Name ( 2:00pm till 4pm ) *

Emergency Contact Phone Number (2:00pm till 4pm)
*

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

Required

Please check if you DO NOT want a photo of your child to be used in newspaper articles, newsletters, or on the Kids For Christ Website or 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 # 196

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