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2020/2021 Church School
Student Information:
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Name
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First
Last
Date of Birth
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Address
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Grade child is entering
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Preschool (3 & 4 year olds)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Any known allergies or special needs?
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Parents Name
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Email
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Cell Phone
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Home Phone
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Emergency contact name
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Emergency Contact number
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We need volunteers, I would like information about:
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Teach on Wednesday evenings
Substitute teaching on Wednesday evenings
Helping with Christmas Program
Help at end of the year BBQ
Help with Youth Events/Outings
Please fill in any other information we need. If your child has two households, please give us any other address, phone numbers, email address and contact information that we would need.
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