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Sonshine Club Registration
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Student's Name
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School Child Attends
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Grade
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Child's Teacher
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Home Address
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Parent/Guardian Name
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Home Phone
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Cell Phone
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Email Address
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Other Contact Name - for emergency purposes
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Other Contact Phone
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Any allergies or medical conditions
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How will your child get home?
Will be picked up
Walk Home
Latch Keu
Other:
Other than the above Parent/Guardian, who else is authorized to pick up your child?
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You may contact me with information on other Urban Light Ministry programs.
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