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We can't wait to see you!
In order help us provide a safe and fun space for you child, we ask that you provide us with some information here.
If you are registering more than one child, please complete the form for each child.
If you have any questions about this registration process or about Pomona Valley Kids, please don't hesitate to reach out to Meredith: pomonavalleychurch@gmail.com.
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* Indicates required question
Child's Name
*
Your answer
Child's Date of Birth
*
Your answer
Child's Grade in school (if between K-6th)
Your answer
Guardian's Name(s)
*
Your answer
Guardian's Phone #
*
Your answer
Guardian's Email Address
*
Your answer
Please list the first and last names of any adults over age 18 who have permission to check out your child from Pomona Valley Kids' care.
No one under 18 may check out another minor.
*
Your answer
Does your child have any allergies?
Please know that if there is ever a snack offered during our time you will be notified at drop off that day. Otherwise, we do not serve food. Dinner together happens when the child is with their guardian.
*
None
Other:
Is there anything else that is important for church staff and/or volunteers to know about your child?
Your answer
I understand that this registration is only partially complete and that I need to also sign the Waiver and Release of Liability in order for my child to participate in any activities hosted by Pomona Valley Church.
*
Yes
Required
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