Columbia Focus Point Registration Form

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Who: Columbia Middle School Students 5th through 8th Grade

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

When: Tuesdays: January 23rd through February 20th from 3:00-4:30pm.

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 forms to the Coordinator.

Columbia Focus Point Registration Form Spring 2024

Child's First Name *

Child's Last Name *

Grade *

School Teacher

Parent/Guardian Name *

Street Address *

Home Phone Number

Cell Phone Number

Email Address

Emergency Contact Name and Phone Number *

Allergies/Special Concerns *

Yes

If yes, please explain

I would like to:

Volunteer

Does your child have a bible at home?

Yes

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 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 #4.

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