Child form

Complete this form to have someone pray for your child. To add more than 2 children, pease complete this survey again after clicking 'Done'. If you are willing to pray for a child, please use this form instead.

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* 1. Would you like to have someone pray/continue praying for your child during the 2020/21 school year?

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* 2. What is your name (First and Last)?

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* 3. What is your email address?

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* 4. What is your child's name?

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* 5. What is your child's pronoun?

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* 6. What is your child's birthday?

Date

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* 7. What is your child's name? (Use this and the following questions for a second child if applicable)

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* 8. What is your child's pronoun?

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* 9. What is your child's birthday?

Date

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* 10. Please let us know if you have any comment, question, or concern regarding the program. Use this space to add any other information you think might be important.

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