Wingate Kids For Christ Registration Form Spring 2024
Who: Wingate Elementary Students Kindergarten through 5th Grade

What: A non-denominational Bible based after-school program

When:  Wednesday's, April 10th, 17th, 24th and May 1st after school until 4:00 pm. 
          4 weeks. There will be a program on May 1st at 3:45pm. 
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. Be sure to hit "SUBMIT."  If you have any questions, please contact Jane Peters 618-406-7607


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Wingate Kids For Christ Registration Form Spring 2024
#1 Child's First Name *
Child's Last Name *
Grade *
School Teacher *
#2 Sibling's First/Last Name
Grade
Clear selection
School Teacher
#3 Sibling's First/Last Name
Grade
Clear selection
School Teacher
Parent/Guardian Name *
Street Address *
Cell/Home Phone Number *
Email Address
Emergency Contact Name and Phone Number (2:30pm-4:00pm) *
Will your child go to Extending time after Kids For Christ *
Required
Allergies/Special Concerns *
Required
If yes, please explain for each child if siblings
I would like to:
Does your child have a bible at home?
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. *
Required
Parent Signature *
Date Signed *
MM
/
DD
/
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This program is entirely voluntary and not affiliated with School District #19.
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