Thank you for registering your child for 'MBC Space Academy!" 

We are so excited for a great week together!

For more information or if you have any questions, please visit moirabaptist.org/families or email sbeattie@moirabaptist.org 

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* 1. Child/Children's  Names

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* 2. D.O.B.

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* 3. School Class (September 2022)

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* 4. Address

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* 5. Allergies/Medical Conditions 

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* 6. Parent Contact - Name and Number 

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* 7. Email Address 

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* 8. Do you give permission for your child to be photographed/videoed during the week?

In general, these will be group photos of children and may be used during the week or on the church website/Facebook page for promotional purposes. They will not be shared with any outside source and will be stored securely. 

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