RIDGE UNITED METHODIST CHURCH
CHILDCARE REGISTRATION FOR
FLOOD VICTIMS

Saturday, October  4
Saturday, October 11

9:00 a.m. - 4:00 p.m.

Lunch will be provided
Child's name:
 Age
Child's name:
 Age
Child's name:
 Age
Child's name:
 Age
Child's name:
 Age
Parent/Guardian name:
Your email address:
Current phone number:
Work:
Cell:
Address:
Allergies/Medical Information/Other:
Emergency Contacts:
Name:
 Phone:
Name:
 Phone:
My child/children will attend on October 4th
9:00 am - 4:00 pm
Other
My child/children will attend on October 11th
9:00 am - 4:00 pm
Other
Home Church:
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