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Child's Name
First Name
Last Name
Age (1st through 8th grade only)
Child's Name
First Name
Last Name
Age (1st through 8th grade only)
Child's Name
First Name
Last Name
Age (1st through 8th grade only)
Parent/Guardian
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Getting Familiar With Your Child
1. Will your child(ren) to stay over night?
Yes
No
2. Allergies or Medical Concerns
3. Is there anything we should know about your child
Emergency Contact
First Name
Last Name
Phone Number
Please enter a valid phone number.
I agree to allow The Purpose Projekt to use my child's photograph to publicize the church and its social media platforms.
Yes
No
Parent/Guardian Signature
Signature Date
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: