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SCUBA Registration
June 17-20, 23 (during worship)
Please fill out 1 form per child
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Email
*
Your email
Child's name:
*
Your answer
Child's age:
*
Your answer
Date of birth:
*
MM
/
DD
/
YYYY
School grade for the 2023-24 school year:
*
Your answer
Name of parent(s)/caregiver(s)
*
Your answer
Address:
*
Your answer
Parent/Caregiver 1 Phone #:
*
Your answer
Parent/Caregiver 2 Phone #:
Your answer
Other person who may be picking up your child:
*
Your answer
Allergies or other medical conditions:
Your answer
Registration requests (i.e. "same crew as sibling," "same crew as friend," etc.):
Your answer
Home church
Your answer
By signing below, I agree to allow Oak Heights to use my child's photo in publications, such as the newsletter, annual report, brochures, etc.
Your answer
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