GOD'S CREATIVE SPACE
"I Am Love" part 2-Week 3
Sign-Up & Registration Form
### Child Information
Child's Full Name:
Date of Birth (MM/DD/YYYY):
-
Month
-
Day
Year
Date
Age:
No
Other
Anything else we should know about your child? (behavioral needs, learning preferences, etc.)
###Parent/Guardian Information.
Parent/Guardian Name:
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
###Attendance Details
Will you be staying or dropping off your child?
I will stay
Drop-off
Is your child new or returning?
New Participant
Returning Participant
### Emergency Contact Information
Emergency Contact Name:
Relationship to Child:
Emergency Contact Phone Number:
Format: (000) 000-0000.
### Permissions & Acknowledgment
I give permission for my child to participate in God's Creative Space activities.
I understand this is a free mentorship program and that donations are optional.
I give permission for my child to be photographed/video recorded for program use (social media, promotions).
I do NOT give permission for photos/videos.
### Signature
Parent/Guardian Signature:
Date:
-
Month
-
Day
Year
Date
Event: Mother's Day Edition 💐
Series: "I Am Love" - Week 2
Date: May 9th
Time:
Hour Minutes
AM
PM
AM/PM Option
Thank you for allowing your daughter to be part of this experience. We look forward to pouring into her! 💖
Preview PDF
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