* 1. Child's First Name

* 2. Child's Last Name

* 3. Address, Street, City & State?

* 4. What grade did your child complete in the 2017-2018 school year?

* 5. Guardian's Name

* 6. Guardian's Phone number & address

* 7. Allergies or Health Concerns

* 8. In case of emergency and guardian isn't available who may we contact? Name & Phone number

* 9. Does this child currently attend church? If so where?

* 10. We use a keychain system to release children to the appropriate caretakers. If the person with the keychain is unable to pick up your child, who do you wish to be able to pick up your child?

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