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New ________
Returning ________
Name
__________________________________________________________________
Age__________ Date of Birth
_____________ Grade __________________
Name___________________________________________________________________
Age___________ Date of Birth
______________ Grade __________________
Name___________________________________________________________________
Age__________ Date of Birth_______________
Grade__________________
Parents’
Names__________________________________________________
Addresses:_____________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Home Phone_______________________ Cell phone
__________________________
Email__________________________________________________________________
Contact Preference
email phone
Photo Release Granted
Denied
Does your child have any special needs or allergies
we should be aware of?
____________________________________________________________________
Would you be willing to volunteer from time to time
or help with special programs? Yes No
Check which volunteer opportunities might interest
you:
________ Help out in nursery one Sunday a
month
________ Sunday School Teacher
________ Board of Youth Education
________ Substitute Teacher
________ Photography
________ Help with potluck suppers and
picnics
________ Help with special crafts
________ Help with the Christmas Pageant
and other special programs
Any special skills you’d like to
share?________________________________________
Are you new to FCCOL?______________
Would you like to become a
member?________________________________
Would you like a visit from one of the
ministers?______________________
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