WoW 2020 Registration

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Name:

*

Parent/Guardian Name:

*

Parent/Guardian Email

This address will receive a confirmation email

Parent/Guardian Phone

*

Student Phone

*

Address

*

Date of Birth

*

Grade in Fall

*

Please select one option.

5th Grade 6th Grade 7th Grade 8th Grade

Allergies, Medical, & Special Needs (Leave Blank if None):

Emergency Contact Name (1):

*

Emergency Contact Phone (1):

*

Emergency Contact Name (2):

Emergency Contact Phone (2):

Authorized Pickup #1:

*

Authorized Pickup #2:

Authorized Pickup #3:

Authorized Pickup #4:

Are you a member of this church?

Please select all that apply.

Yes No

Guest of:

Do you attend church anywhere?

Please select all that apply.

Yes No

If so, where?

May we have permission to photograph your child and possibly use it in church publications?

*

Please select all that apply.

Yes No

T-Shirt Size (Adult sizes)

*

Please select one option.

X-Small Small Medium Large X-Large XX-Large XXX-Large

Is this your first time attending WoW?

*

Please select one option.

Yes No

Comments:

Description

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