Resonate Life Church Registration Form - 2022-2023 sch on T/Th from 2:30-6pm
MASH Initiative at Resonate Life Church 1820 53rd Ave W
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Email *
Untitled Title
Where or from whom did you hear about this opportunity? *
Parent or Guardian's First Name *
Parent or Guardian's Last Name *
Parent or Guardian's Phone Number *
Parent or Guardian's Email Address *
The best way to reach me is *
What is/are the names of the adult(s) who will be picking this student up after homework help? *
Student First Name *
Student Last Name *
Student Grade Level *
Student Birthday *
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Student School Name *
By registering your child, you give permission to us to access FOCUS to monitor grades and school work. We will need your student's FOCUS log-in information so that we can help them log in to complete their work. Type username here (sometimes is the student ID number) *
What is your student's FOCUS log-in PASSWORD? (sometimes is the student six digit bday) *
Is your student able to attend every week on Tuesdays AND Thursdays (regular attendance is required). *
Does your student have transportation or a way to and from Resonate Life Church? *
We often provide snack and/or dinner. Does your student have any food allergies that we should be aware of? *
Does your student need any medication or have any medical issues or health concerns that we should be aware of?
What does your student need most from a program like this in your opinion? *
Does your student have any of the following plans at school? *
Please check if you also need support with the following resources. *
Required
I understand that by completing this questionnaire, my students will hear Biblical content as this is a faith-based program, that I am granting access to FOCUS and that my student may have pictures and videos taken of them as part of community building and social media. *
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