Chester Kids For Christ Registration Form

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Who: Chester Elementary Students K through 8th Grade.

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

When: Mondays after school until 5:00 pm. April 15th - May 6th 2024

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.

Closing Program: Please join us Monday, May 6th at 4:45 pm for our closing program.

Chester 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

Email Address *

Emergency Contact Name and Phone Number (3pm-5pm) *

Allergies/Special Concerns *

Yes

Required

If yes, please explain

I would like to:

Volunteer

Donate Snacks

Does your child have a bible at home?

Yes

Please check if you DO NOT want a photo of your child to be used in newspaper articles, newsletters, or on the Kids For Christ Website or facebook page.

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. *

I agree to the statement above.

Required

Parent Signature *

Date Signed *

YYYY

This program is entirely voluntary and not affiliated with School District #139.

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