CROSSWALK

For boys in grades 1-6.

We will be guiding boys to be disciples of Jesus by teaching the to serve others, learn bible verses, and learn life skills. Transforming boys into Godly men!

For questions or transportation information contact Matt Miller (580)951-8109

Student Name

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Parent/Guardian Name

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Parent/Guardian Email

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Parent/Guardian Phone

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Address

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Date of Birth

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Grade

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

Emergency Contact Name (1)

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Emergency Contact Phone (1)

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Emergency Contact Name (2)

Emergency Contact Phone (2)

Are you a member of this church

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Student T-Shirt Size

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Special Notes Regarding Your Student

Will You Need Transportation to the Church

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Description

For boys in grades 1-6.

We will be guiding boys to be disciples of Jesus by teaching the to serve others, learn bible verses, and learn life skills. Transforming boys into Godly men!

For questions or transportation information contact Matt Miller (580)951-8109

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