EBC Children's Ministry Parent Form

Please fill out this form and click submit.
Child's Information

 
 
 
Please select one option.
Parent 1/Guardian Information

 
 
 
 
 
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Parent 2/Guardian Information

 
 
 
 
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Emergency Contact(s) Information

 
 
 
 
Other Child Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Please select one option.
Thank you for entrusting us with teaching and caring for your child. If you ever have any concerns or need to update this form, please do not hesitate to contact the Children's Ministry Director - Kay Rockafellow at 248-420-1540 or ebcmisskay@outlook.com

Description

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