Location & Times
Rosemount
14401 Biscayne Avenue, 651-322-5679
Sunday – 9:00 and 10:45 am
Wednesday – 6:00 pm
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Parent/Gaurdian #2
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1st Child's Full Name
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Age (as of 9/1/12)
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Gender
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Male
Female
Grade Entering Sept 2012
School
Special Needs (allergies, medications etc.)
2nd Child's Full Name
First
Last
Birth Date
Month
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1929
1928
1927
1926
1925
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1923
1922
1921
1920
Age (as of 9/1/12)
Male
Female
Grade Entering Sept 2012
School
Special Needs (allergies, medications etc.)
3rd Child's Full Name
First
Last
Birth Date
Month
1
2
3
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12
Day
1
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Year
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
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1976
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1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Age (as of 9/1/12)
Male
Female
Grade Entering Sept 2012
School
Special Needs (allergies, medications etc.)
Parent Involvement
We are able to offer programming for your child because of the work of many volunteers.
Please check how you can help
Rellow Volunteer
Teacher
Small Group Leader
Check-in/Check-out
Tear-Down (after service)
Set-Up (1 hour before service)
Special Needs Assistant
Tech Team
Special Events Volunteer
Day/Time Available
Sunday 9am
Sunday 10:45am
Wednesday 6pm
Medical Release & Permission
I give permission for my child to participate in all aspects of Kids Ministries. I understand that every effort will be made to contact me if my child needs emergency medical treatment. I authorize medical personnel or Community of Hope staff to secure any medical or emergency treatments deemed necessary for my child. I or my insurance company will pay for any medical treatment if costs are incurred. I give permission for my child's image to be used in any Community of Hope publication or promotional material including the COH website.
Please type your name as an electronic signature
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