Dupo Kids For Christ Registration Form

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Who: All Bluffview Elementary Students Kindergarten through 6th Grade

What: A non-denominational Bible based program

When: Tuesdays, March 5th through April 2nd from 5:30 p.m. until 7:00 p.m.

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 the Coordinator.

Dupo Kids For Christ Registration Form Spring 2024

Child's First Name *

Child's Last name *

Grade *

School Teacher *

Parent/Guardian Name *

Street Address *

Home Phone Number

Cell Phone Number

Email Address

Emergency Contact Name and Phone Number (5:30pm-7:00pm) *

Will your child go to Dee Dee's Learning Academy before Kids For Christ *

Yes

Required

Allergies/Special Concerns *

Yes

Required

If yes, please explain

I would like to:

Volunteer

Donate Snacks

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 the Kids For Christ Website or facebook page.

By typing my name below, I give my child permission to attend the Kids For Christ Bible Study. 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 #196.

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