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2026-2027 MOTHER'S DAY OUT REGISTRATION FORM

CONTACT INFORMATION

CHILD MEDICAL INFORMATION

Medication or Food Allergies

Does Your Child Have Any Allergies (Choose YES or NO)
Does Your Child Attend a Church Regularly (Yes or No)
May We Have Permission to Photograph Your Child for Promotional Purposes (Yes or No)

OTHER INFORMATION

$20 Registration Fee Due When Registering Your Child (Non-Refundable)

$175.00 Monthly Fee Payable on or Before 1st of the Month

$25 Late Fee Will Be Assesed After 1st Week

Monthly Fee Must Be Paid by 15th of the Current Month

Program Days: Tuesday & Thursdays

Times: 9 am to 1 pm

Locations: Union Fork Baptist Church

350 Lee Pike

Soddy Daisy, TN 37379


Proverbs 3:5-6 Trust in the Lord with all your heart adn lean not on your own understanding,
in all your ways submit to him, and he will make your paths straight

PHONE: (423) 332-4883

EMAIL: UNIONFORKBAPTIST@GMAIL.COM

©2026 by Union Fork Baptist Church.

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Please allow 24-48 hours to be added

Area code plus phone number (423) 123-4567

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