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The Reach - Children's Church -
Returner
* Indicates required question
Date of service attending:
*
MM
/
DD
/
YYYY
Parent(s) Full Name:
*
Your answer
Parent(s) Phone Number:
(Number to be used to contact during service and to share ministry updates.)
*
Your answer
Child #1 Full Name
*
Your answer
Child #2 Full Name
Your answer
Child #3 Full Name
Your answer
AUTHORIZED PEOPLE TO PICK UP MY CHILD:
(Please include name, phone number and relation to the child.
Child can be picked up no later than 1pm or all will return to main campus together.)
*
Your answer
Agreement for updated information:
(By checking this box, I agree that all medical and emergency contact information has not changed. If so, please see the registration agent.)
*
Yes
Required
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