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New Covenant Christian Community Church
Sunday School (DZ) / Nursery Registration 2011-2012

Parent/Guardian Name(s):
Address:
Home Phone:
Cell Phone:

CHILD'S NAME
(from age 0 to 12th grade)

BIRTH DATE

GRADE ENTERING 9/11

ALLERGIES OR SPECIAL NEEDS

Additional Comments /Instructions concerning the above:

Note: We prefer that children below the age of 11 be picked up at their SS room immediately after service. However, if you prefer to have your 3rd grader, or older, released to return to you on their own, please check here:

Please give names of adult(s) and/or older sibling(s) who have permission to pick up your child(ren).

If there are any individuals who are specifically prohibited from picking up your children, please list:

I give permission for SS staff to treat minor cuts and bruises (please check):

Signed:

Date:

Church Contact Info

New Covenant Christian Community Church
21 E. Broad Street • Bethlehem, PA 18018 U.S.A.
610-861-7725 (p) • 610.317.3107 (f)
info@nc4.org

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Service Times

Worship with us every week!

Saturday Evening — 6 PM *
Sunday Morning — 10 AM

* no childcare or children's classes

Verse of the Day

Psalm 97:10
“Let those who love the LORD hate evil, for he guards the lives of his faithful ones and delivers them from the hand of the wicked.”

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