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Station 16 Registration

Station 16 K.I.D.S. Kids Involved in Discovering Scripture

Station 16 K.I.D.S.
Kids Involved in Discovering Scripture
2011-2012

We meet at 5:15-6:00 on Wednesday Evenings in the Koinonia Room

Station 16 K.I.D.S. Registration
(Registration due August 23rd)

Child’s Name: Grade:
Child’s Name: Grade:
Child’s Name: Grade:
Parent/Guardian’s Name: Phone:
Address: Cell phone:
City:  
ZIP:  
E-Mail:  
If you wish to be notified of program dates, etc by email instead of snail mail, please check here.
Additional parent information if different from above:
Parents Name: Phone:
Street Address: Cell Phone:
Email Address:  
Individual needs: (toileting, allergies, disabilities, medications, behavior concerns)

 


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