Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
Tree Climbers_Registration_Form Grades 1-2

Tree Climbers_Registration_Form Grades 1-2

Ratings: (0)|Views: 21 |Likes:
Published by currieka

More info:

Published by: currieka on Sep 28, 2011
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as DOC, PDF, TXT or read online from Scribd
See more
See less

09/28/2011

pdf

text

original

 
TREE CLIMBERS FATHERS & SONS CLUB
For boys in Grades 1-2 and their Dad’s (or grown up male friend)Registration Form 2011-2012
Boy’s Name: ________________________________________Grade Entering: ____________ Parents’ Names: _________________________________________________________________ Phone: (Home) ______________________(Cell)____________________ Which school do you attend? _______________________________________________________ Which church, if any, do you attend?_________________________________________________ Boy lives with: Both Parents Mom Only Dad Only OtheBoy’s Birthday: _______________ E-mail Address: _________________________________ Mailing Address:_________________________________________________________________ StreetCityZipSpecial Needs: __________________________________________________________________ Is there anything we should know about your son that would help us minister to him moreeffectively? _______________________________________________________________________________  ______________________________________________________________________ Important Information or Instructions: ________________________________________________ 
Fees
: Registration $20.00
 _________________________________________________________________________________ 
DATE OF LAST TETANUS SHOT_____________ALLERGIES____________________________ MEDICATION____________________________________________________________________ PARENT’S HEALTH INSURANCE CARRIER__________________________________________ INSURANCE #____________________________________________________________________ DOCTOR_________________________________________________________________________ 
 NameCityPhone
IMPORTANT INFORMATION OR INSTRUCTIONS_____________________________________  _________________________________________________________________________________ 
Please read & sign the back 

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->