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Registration
To register, please take the time to fill out the information below.
Child/Teen first and last name
Email
Teacher's Name
Mailing Address-please include city and zip code
Phone #
Emergency Phone #
My child attends the after-school program at the school.
Parent/Guardian First and Last Name
School Name
Grade
Any food allergies?
My child has permission to be transported home by:
Would you be able to help during the Bible Club hour?
Do we have permission to use your child's photo in Bible Club communications?
Submit
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Mid-High Video
Statement of Faith
Our Mission
Volunteers Needed
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