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After School Kids- Perkins CoC- (Registration Form 2023-24)
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First Name
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Last Name
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Age
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Grade
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Parent name
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Phone number
*
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Email
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Address
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Emergency number
*
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Allergies
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Who else can pick up your child from church? (Name & Number)
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I give permission for Perkins Church of Christ to pick up my child from school on Wednesdays.
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No
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I give permission for my child to attend local field trips and ride in the church van.
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No
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I give permission for Perkins Church of Christ to photograph, video, and post online my child.
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No
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