Kids Connect Registration

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Registration Information for Kids Connect!

Children's program for children JK - Grade 6.

Child's Information



Gender
MaleFemale

Parent/Guardian Information








Emergency Contact Information




Doctor Information




Approved Alternate Pick-up Person

I approve the following person to pick up my child

I would be interested in receiving additional information by email for the following:

EastRidge events and/or special servicesAdult Bible Studies/Small GroupsYouth and Young Adult programsPrograms for Children (up to grade 6)

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