Emergency Family Registration Form
Thank you for your dedication and help to the Wabasha-Kellogg families. Please make sure to submit this registration form before you come to God's Kids to save time. We will have hard copies to fill out at the door.

God Bless,
Eric Sonnek

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Email *
Child's Name *
Child's Grade *
Child's Name
Child's Grade
Child's Name
Child's Grade
Child's Name
Child's Grade
Mother's Name *
Mother's Email *
Mother's mailing address *
Mother's Best Phone Number to be reached   *
Mother's Work Phone Number *
Father's Name *
Father's email address *
Father's mailing Address *
Father's Best Phone Number to be reached   *
Father's Work Phone Number *
Emergency Contact and Authorized Pick up person *
Parents are responsible for all medical/ambulance expenses should they be required.
Emergency Contact and Authorized Pick up person
Parents are responsible for all medical/ambulance expenses should they be required.
Child's Doctor and Phone Number *
Child's Dentist and Phone Number *
Do any of you children have food or medication allergies? If so, please list and/or describe: *
Do any of your children use medications? If so, please list and/or describe: *
Please describe the characteristics, socialization, interests, special needs, etc. of your children: *
Please describe the characteristics, socialization, interests, special needs, etc. of your children: *
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