Student Information Form - Trenton Wesleyan Church

T.W. Tuesdays Student Information Form

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Name of Student(s) *

Student's Grade(s) *

Student's Birthday(s) *

Allergies or Special Needs(s)

Name of Home Church

Name of Parent/Guardian 1 *

First

Last

Parent/Guardian 1's Email *

Parent/Guardian 1's Phone Number *

Parent/Guardian 1's Address *

Name of Parent/Guardian 2

First

Last

Parent/Guardian 2's Email

Parent/Guardian 2's Phone Number

Parent/Guardian 2's Address

Parent/Guardian and Needs(s)

I give permission for my child(ren)'s photos and videos to be shown in the church. *

Signature *

First

Last

Email address:

Leave this field empty if you're human:

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