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CHILD SPONSORSHIP FORM
MEET THE KIDS!
COUNSELING IN-TAKE FORM
GRACE COUNSELING POLICY STATEMENT
BECOME A FRIEND OF GRACE
RECOGNITION & AWARDS
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Please let us know how your child will be getting to the after school program.
The program is located at Millen Baptist Church (418 College Ave. Millen, Ga).
Student's Full Name
Parent/Guardian's Full Name
How will your child get to the after school program? Please select all that may apply.
Dropped off by a parent, guardian, sibling, or other authorized individual
Dropped off by a Jenkins County School bus
If you selected "other" please explain:
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