Southwestern Christian Church
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SCCKIDS Check-In Form
RightNow Media
Plan A Visit
Friday September 22, 6:00pm-10:00pm
We're going to have supper together and an evening of activities, games, and lots of fun!
*NURSERY-6th GRADE*
Registration form
Please fill out the information completely.
Parent First Name
Parent Last Name
Address 1
Address 2
Country
City
State
Zip/Postal Code
Email Address
Phone Number
How many children will be attending?
1
2
3
4
5
Emergency Contact Name and Phone Number:
Special needs we need to be aware of (list each child seperately):
Known Allergies For Each Child (list each child separately)::
Who Is Allowed To Pick-up The Child ( first and last name, relationship to child, and phone number):
Send