LaVerna Evans Kids For Christ Registration Form
Who: LaVerna Evans Elementary Students, Kindergarten through 5th Grade

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

When: Wednesdays after school till 5:00 pm.  Dates: January 24th thru February 21st
           
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 to the coordinator.

Please join us for our closing program on Wednesday, February 21st at 4:45 p.m.

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LaVerna Evans Kids For Christ 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
E-mail Address
Emergency Contact Name and Phone Number (3pm - 5pm) *
Will your child go to latchkey after Kids For Christ *
Required
Allergies/Special Concerns *
Required
If yes, please explain
I would like to:
Does your child have a bible at home?
By typing my name below, I give my child permission to attend the after-school Kids For Christ Bible Study. I understand I must confirm all Bible Study plans with his/her school teacher in advance. I assume all risks and hazards incidental to Bible Study participation. * *
Required
Parent/Guardian Signature *
Date Signed *
MM
/
DD
/
YYYY
This program is entirely voluntary and not affiliated with School District #90.
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