Kids 4 Truth

A Passion for God
And a Heart for You

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Parent/Guardian Information

Kid Information

I have read the parental information above and give permission to

enroll my child in the Kids 4 Truth program. I understand my child will learn Bible truths and verses. I will

support the leadership of this program with discipline issues regarding my child’s behavior. This permission

is good for each time my child comes to the program. By typing in my name and date I therefore agree.

First Child’s Name

Allergies or Medical Coditions

Date Of Birth

Gender

Shirt Size

Age/Grade

Second Child's Name

Allergies or Medical Conditions

Date Of Birth

Gender

Shirt Size

Age/Grade

Third Child's Name

Allergies or Medical Conditions

Date Of Birth

Gender

Shirt Size

Age/Grade

Address

City

State

Zip Code

Phone Number

Parent's Email

Todays Date