Calvary Baptist Church: Awakening Weekend
Child Care Registration
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You Must Fully Complete all answers before submitting this form *

*Required*
     
 
Enter your child's name (First & Last) [Mandatory] *

 
When is your child's birthday? *

 
Please list your child's allergies, medical issues, and/or medications: *

 
Parent's Contact information:

 
Name: *

 
Address: *

 
Emergency Phone Numbers: *

 
Email: *

 
Please list the parent(s) names who are picking the child up: *

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