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Registration Form for Kids
Fall 2007 Wednesday Night Bible Study for Children
Register my child for Wednesday night study
* Required
First Name *
Last Name *
 
Email Address * (For example: name@company.com)
 
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
 
  Area Code Phone Number  
Home Phone *
  
Mobile Phone
  
Work Phone
 Ext 
 
Name of first child being registered: *
 
Age of first child being registered: *
 
Grade of first child being registered: *
 
Name of second child being registered:
 
Age of second child being registered:
 
Grade of second child being registered:
 
Name of third child being registered:
 
Age of third child being registered:
 
Grade of third child being registered:
 
Emergency Contact Name: *
 
Emergency Contact Phone: *
 
Does your child have any allergies or medical conditions? *
No
Yes
 
Please list your child's allergies or medical conditions if you checked yes above.
 
Children's studies follow children's choir and ends at 7:30 p.m. Where will you be during this time? *
 
Would you like to lead a group? *
Yes
No
 
Do you understand that you may be asked to assist one or two Wednesday evenings this fall? *
Yes
No
 
I hereby grant permission for GFUMC to use photographs or video clips in which my child may appear for future informational or promtional events of the church, (i.e., brochures, posterse, website, video productions, bulletin boards, etc.) *
Yes
No
 
I understand children remaining past 7:30 p.m. will be taken to the Nursery to await pick-up. *
Yes
No
 
Please click on the submit button to complete the registration process.
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Sunday Worship Services

  8:30 a.m.     Lakeside Worship Service
                      
10:55 a.m.     Contemporary Worship Service
                      in the Reception Hall

10:55 a.m.     Traditional Worship Service
                      in the Sanctuary

radio ministry copyUnable to attend?
Listen to the radio broadcast 
of the 10:55 a.m. Traditional 
Service on AM 1240 WGGA.

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