Kidsciple
Wednesdays at Troy Christian Church
6:30-8:00 pm
4 year olds - 6th graders
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Child
First Name
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Child
Last Name
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Child
Email
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Child
Allergies / Child notes
* Child's Birth Date
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Child
Emergency Contact Name & Number
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Child
NextGen: Zone
Select one
Green (Birth-2.5 years)
Yellow (2.5-5 Years)
Blue (K-2nd Grade)
Teal (3rd-6th Grade)
Jr. High (7th-8th)
Sr. High (9th-12th)
Young Adults (College +)
NextGen Crew
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Child
Child lives with
Both Parents
Mom
Dad
Step Parent
Grandparent
Foster Parent/Other
* Current School Grade
Select one
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Preschool
Nursery
NA-
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
College Student
* Photography Release
Select one
Yes, I allow any photos of myself or family to be utilized in advertisements/publications of TCC.
No, I decline TCC any permission to use photos of myself or my family
*
Child
Medical Release
Select one
In the event of an emergency, I authorize first aid or medical treatment (at the children's ministry staff's discretion) for this child and I release Troy Christian Church from any responsibility.
I decline Troy Christian Church permission to provide any medical treatment/attention.
Incomplete
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Wednesdays at Troy Christian Church