Waterloo Jr. High Focus Point Registration Form
Who: Waterloo Jr. High Students 6th through 8th Grade

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

When:  Mondays, January 22nd and 29th and February 5th and 12th  from 3:00 pm until 4:30 pm

Where:  Waterloo Jr. High Cafeteria

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.

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Waterloo Jr. High Focus Point 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
Email Address
Emergency Contact Name and Phone Number (3pm-4:30pm) *
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 assume all risks and hazards incidental to Bible Study participation. *
Required
Date Signed *
MM
/
DD
/
YYYY
Parent Signature *
This program is entirely voluntary and not affiliated with School District #5

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