Jesus, It's About Him
LWC Kids Wednesday Registration
2017 Youth Camp Registration
Grade Child Will Be In Aug. 2017
Cell Phone Number
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Student's Food Allergies
Emergency Contact Name
Emergency Contact Phone #
Emergency Contact Relationship to Child
Other Allergies or Medical Conditions
May we have permission to photograph and/or video your student for use in church publications?
Yes, you have permission to photograph/video my student.
No, I do not give permission to photograph/video my student.
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"May the grace of the Lord Jesus Christ, and the love of God, and the fellowship of the Holy Spirit be with you all."
2 Corinthians 13:14