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Click ‘Get Form’ to open it in the editor.
Begin by entering your child’s full name and date of birth in the designated fields. Ensure accuracy as this information is crucial for enrollment.
Fill in the parent’s name, date of birth, and email address. Indicate if you live with the child, are an emergency contact, or will be picking them up.
Provide your street address, city, state, and zip code. Then, list your phone numbers in order of preference (mobile, work, home).
Complete the employer and position fields. If applicable, share your faith preference and home church information.
Choose a personal 6-digit pin number for check-in and door entry. Repeat this step for the second parent/guardian if necessary.
List any additional individuals living with you and your child(ren) along with their insurance provider details.
Finally, sign and date the form at the bottom to confirm all information is accurate before submission.
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