COVENANT CHURCH
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    REGISTRATION FORM

    Parent Information

    Childs Information

    Any medical information we may need to know. (illness, allergies, meds needed), please include all food allergies.



    Immunization Information     
    **Add date administered and dose # to appropriate boxes. (Month,Day,Year)**

    Emergency Contacts Information

    Digital Release

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  • Home
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  • OUR BELIEFS
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