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League 33 Registration
3715 33rd Avenue
Cedar Rapids, IA 52404
(319) 362-6178
office@salemchurchcr.com
n.german@salemchurchcr.com
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* Indicates required question
Email
*
Your email
Name of Child(ren), age/grade
*
Your answer
Guardian 1 Contact Info
name, phone, email
*
Your answer
Guardian 2 Contact Info
name, phone, email
Your answer
Who will be picking up/dropping off for League 33?
*
Guardian 1
Guardian 2
Other:
Are you a member at Salem?
*
Yes
No
May we take pictures of the event (possibly shared on Social Media, Sunday morning presentation, website, etc.) that include your child(ren)?
*
Yes
No
Yes, but please blur/emoji over my child(ren)'s face
Allergies/Medical conditions/Dietary restrictions?
*
Your answer
Any behavior/emotional concerns for volunteers to be aware of? If so, please expound upon practices and strategies utilized to help provide safe and meaningful interactions (among peers, volunteers, building, etc.).
*
Your answer
I understand that Salem UMC will be caring for my child during these events, but are not liable for illness or injury. I trust that Salem UMC will make every effort to contact my child(ren)'s contacts in the event of an emergency.
*
Yes
Tell us in 2 sentences about your child(ren) and what they're looking forward to at League 33!
Your answer
Send me a copy of my responses.
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