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Child's Name |
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Age |
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Grade |
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Birth Date |
Baptism Date
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Parent's Names |
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Address |
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Phone Number |
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Adult Bringing Student to Sunday School |
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Phone Number For Above Named Adult |
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List Food Alergies |
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List Any Other Health Concerns |
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YES ,I Give Permission For My Child, (child's name), to have his/her picture taken to be placed in the church narthex or on the church bulletin board.
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NO, I Do Not give permission for my child to have his/her picture taken to be placed anywhere.
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Name of Parents to be used as a Signature |
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Date |
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