Shoe Signup - Form - Word Of Life Christian Faith Center

Hays Cares Shoe Signup - One Entry Per Person

* Indicates required field

Child's Name *

First

Last

Grade *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Gender *

Male Female

Shoe Size *

Parents please provide permission for your child to participate at the Hays Cares/Samaritan's Feet event, by selecting the response below. *

I DO give my child permission to particiate in the foot washing ceremony. I do NOT give my child permission to particiapte in the foot washing ceremony. I DO give my child permission to receive a new pair of donated athetic shoes I do NOT give my child permission to recieve a new pair of donated athletic shoes.

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