Registration Student Name * First Name Last Name Emergency Contact Name * First Name Last Name Emergency Contact's Phone * (###) ### #### Special medical, health, allergy, dietary information: Does your child have any learning differences I should be aware of? By checking the box below, I understand that: * This is a Christian program and we will bring that faith into our discussions. We will discuss that we are beloved children of God and that we must first have a present and healthy relationship with God to have healthy relationships with others. We will also reference the biblical scripture as we study the value of friendship and how to be a friend. I understand By checking the box below, I agree: * to the incorporation of the Christian faith in our discussions involving your child. I agree Is there anything you want to share about your daughter in relation to how she is able to make, keep, and experience friendships? Thank you!