Columbia Community Center of Seventh-day Adventists

Ministries

Children’s Church Sign-Up | July 26

Email

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Parent/ Guardian Name*

First Last

Parent/ Guardian Phone Number*

Parent/ Guardian Email*

Child Name (#1)*

First Last

Child Name (#2)

First Last

Child Name (#3)

First Last

Children(s) Age & Grade*

Allergies/ Medical Needs*

Emergency Contact (if different than Parent/ Guardian)

Photo Release (I consent to photos/videos of my child being used for church-related purposes.)*

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