Steeleville Kids For Christ Registration Form

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Who: Steeleville Students Grades Kindergarten through 8th

What: A non-denominational Bible based after school program

When: Mondays from 3:10-5:00 pm. Dates: March 18th - April 15th ( We will not be in session on April 1st )

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 Coordinator.

Steeleville Kids For Christ Registration Form Spring 2024

Child's First Name *

Child's Last Name *

Grade *

School Teacher *

Parent/Guardian Name *

Street Address *

Cell Phone Number *

Email Address

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

Allergies/Special Concerns *

Yes

Required

If yes, please explain

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 our 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 #138.

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