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Child Enrollment Form (English)

Home » Child Enrollment Form (English)
Child Enrollment Form (English)

JLFS - Child Enrollment (English)

Complete an enrollment form for each child. If enrolling more than one child from the same family/household, complete a separate form for each child.
  • Child Information

  • MM slash DD slash YYYY
  • (ex: needs additional reading help, prefers small groups)
  • Family Information

  • Emergency Contact Information

  • NameRelationshipCell Phone Number 
    In case of an emergency, I give permission for any of the above individuals to be contacted and my child(ren) may be  released to any of them. 
  • Freedom School will be assigning sites based on your preference and availability.
resurreccion2021-12-10T19:25:01+00:00

Resurrected Community Development Corporation

914-916 W Turner Street
Allentown, PA 18102
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484-221-8072

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Resurrected Life Community Church

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