JOY Club Registration Form
1st Baptist Church of Rowley MA
Parent Name(s)
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Mailing Address
Street Address
Street Address Line 2
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Zip Code
Child's Name
*
First Name
Last Name
Child's Birthday
*
-
Month
-
Day
Year
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Child's Teacher
*
Teacher Last Name
Child's Grade
*
-
K
1
2
3
4
5
6
Emergency Contact
*
First Name
Last Name
Emergency Phone Number
*
-
Area Code
Phone Number
Allergies: (child's name, allergy, and required medication)
PERMISSION FORM
I give permission for my child listed above to attend JOY Club at 1st Baptist Church, Rowley, MA. during the 2024-2025 school year.
In the unlikely event of an emergency, I give permission for my child(ren) to be treated by an accredited physician or emergency medical technician. (You will receive a call immediately if there is an emergency.)
I give permission for my child(ren) to walk from Pine Grove School (PGS) to the First Baptist Church at 147 Main St., Rowley, MA with JOY Club leaders. In inclement weather, I give permission for my child to receive transportation by JOY Club leaders from PGS to First Baptist Church.
I will transport my child to JOY Club.
I give permission for my child to be photographed for craft purposes and slide show for parents.
Signature
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