WHERE CURIOSITY MEETS CREATIVITY

AND DREAMS TAKE FLIGHT.

W E L C O M E

Bay Area Maranatha Christian Center is excited to announce our B.O.O.S.T Kids After School Program for kindergarten through 12th grade.
Our program will focus on Science, Technology, Engineering Arts (including music), and Math from September 2024 to May 2025. We will also offer tutoring in reading, math, and English.

Register Your child now!

1. Child’s Information

Full Name of Child 1

Birthdate

Full Name of Child 2

Birthdate

Full Name of Child 3

Birthdate

2. Parent/Guardian Information

Full Name of Parent/Guardian 1

Relationship to Child

Home Address

Phone Number

Full Name of Parent/Guardian 2

Relationship to Child

Home Address

Phone Number

3. Emergency Contacts

Full Name of Emergency Contact 1

Phone Number

Full Name of Emergency Contact 2

Phone Number

4. Authorized Pick-Up Persons

Full Name of Authorized Person 1

Phone Number

Full Name of Authorized Person 2

Phone Number

Any Special Instructions Regarding Pick-Up

5. Medical Information

Physician’s Name and Contact Information

Allergies (Food, Medication, Environmental)

Medical Conditions or Special Needs

Medications Currently Being Taken

Insurance Iinformation (Insurance Provider, Policy Number)

Consent for Emergency Medical Treatment

Preferred Hospital in Case of Emergency

6. Consent and Agreements

Permission for Child to Participate in Program Activities

Photo/Video Consent:

I give permission for my child to be photographed and/or recorded during program activities.

I consent to the use of my child’s photographs/videos in program advertisements and highlights.

I understand that information will never be given or sold to a third party and will only be used to highlight the program and what the children are learning.

Will your child need transportation?

Please note that registration does not guarantee a spot for your child in the Bay Area Maranatha Christian Center After School Program. Enrollment is on a first-come, first-serve basis until we reach capacity. An interview will be conducted, and confirmation will be sent if your child is accepted into the program. If the program is full, your child will be placed on a waiting list, and we will notify you if a spot becomes available.

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WHERE CURIOSITY MEETS CREATIVITY

AND DREAMS TAKE FLIGHT.

W E L C O M E

Register Your child now!

1. Child’s Information

2. Parent/Guardian Information

3. Emergency Contacts

4. Authorized Pick-Up Persons

5. Medical Information

6. Consent and Agreements

1811 S.7th Street

Suite A

San Jose, CA 95112

info@bamcc.org

408.280.7729

Connect

ANNOUNCEMENT Request

Church Calendar

MEMBER UPDATE FORM

PRAYER Request

Baptisim Signup

GIVE

Join MCC Facebook Community

Privacy policy

©2020 Maranatha Christian Center

WHERE CURIOSITY MEETS CREATIVITY

AND DREAMS TAKE FLIGHT.

W E L C O M E

Register Your child now!

1. Child’s Information

2. Parent/Guardian Information

3. Emergency Contacts

4. Authorized Pick-Up Persons

5. Medical Information

6. Consent and Agreements

1811 S.7th StreetSuite ASan Jose, CA 95112info@bamcc.org408.280.7729

Connect

ANNOUNCEMENT RequestChurch CalendarMEMBER UPDATE FORM PRAYER Request

Baptisim SignupGIVEJoin MCC Facebook CommunityPrivacy policy

1811 S.7th Street

Suite A

San Jose, CA 95112

info@bamcc.org

408.280.7729

ANNOUNCEMENT Request

Church Calendar

MEMBER UPDATE FORM

PRAYER Request

Baptisim Signup

GIVE

Join MCC Facebook Community

Privacy policy