School Time Supervision Application for GracePointe Baptist

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Email *

Child's Name *

Grade Level of Children? *

Child's School *

RES

RIS

MtCES

NMS

Other (type in the comment box at the bottom of this form)

First Parent/Guardian *

First Parent's Phone *

First Parent's Place of Employment *

Second Parent/Guardian's Name *

Second Parent/Guardian's Phone *

Second Parent's Place of Employment *

Are either of you a single parent with sole custody of your child(ren)? *

Yes

Name and age of all children *

Anything that GracePointe needs to be aware of about my child in terms of health, allergies, etc.? *

I have read and agree to the behavior policy and have read it with my child. *

Yes

Submit

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