KidsMania 2019/2020 Programs Registration

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Information provided is confidential and is being gathered for the purpose of serving your child while in the care of Devon Community Church. Any medical information collected here serves to authorize Devon Community Church, and its staff or volunteers, to obtain medical assistance in emergencies.
This form is required for all children between the ages of 3 and Grade 6 who are attending KidsMania Programs for the 2019/2020 program year.

Parent/Guardian Information

Parent/Guardian Name(s) *

Phone Number *

Alternate Phone Number

Email *

Address *

Are there any custody concerns we should be aware of that will help us keep your child safe?

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