EmailMeForm
Small Groups || Recharge Childcare
Thank you for providing the following information so we can better prepare for your kids.
For this event we will offer breakfast and a light snack. If your child has a food allergy, please bring a meal/snack.
*Notice to Parents: Cell phones are not allowed in the children's classes.
**This is a peanut free zone.
Ages: 1-12 (1 year old must be walking)
Parent's Name
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First
Last
Phone number we can text you at during the conference
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What church do you attend?
Email
Child #1's name
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First
Last
Child's #1's birthdate
MM
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DD
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YYYY
Age
Grade
Allergies/Special needs
Child #2's name
First
Last
Child's #2's birthdate
MM
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DD
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YYYY
Age
Grade
Allergies/Special needs
Child #3's name
First
Last
Child's #3's birthdate
MM
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DD
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YYYY
Age
Grade
Allergies/Special needs
