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* 1. Child’s name

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* 2. Child’s Current Grade

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* 3. Parent’s Name(s)

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* 4. Address

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* 5. Parent’s Cell Number

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* 6. Does your child have any allergies? If so, please specify.

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* 7. If child will be dropped off or picked up by anyone other than parents, please include person’s name and cell phone number.

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* 8. Occasionally our Wednesday night groups leave the church campus to go on mission projects (visit retirement home, paint ornaments at FRAC, Christmas caroling, etc.). Group leaders will give you more detailed information before trips. Does your child have permission to accompany their groups on such trips?

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* 9. Additional children’s name and grades (ex. John Doe, 5th)

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* 10. Does FBC have permission to use your child’s photo on its social media pages?

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