Kids & PAK - Wellness Check In (Bloomingdale Church)
Please complete this form on the day of the event, preferably before arriving.

Pick up name tag at check-in desk, located next to lower level elevator. (3 y/o-3rd grade must be picked up with matching security tag.)
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Updated Mask Guidance - During NextGen Programs
-Masks will be worn at all times by EVERYONE INDOORS, including vaccinated persons.
-Mask wearing is OPTIONAL OUTSIDE. We support each family’s mask-wearing preference outside.
Which program are your child(ren) attending TODAY?
Please indicate which program your child(ren) will be attending TODAY. Select all that apply.
Parent/Guardian Name *
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