Delta Kids Signup | glencoefpa.com

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259 Main St.

Glencoe, ON

N0L 1M0

519-287-2448

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Delta Kids Sign-Up

Disciples Equipped for Life Transformation and Action

2026-2027

Parent/ Guardian Full Name

Parent/ Guardian E-mail

Street Address

Phone Number

City

Relation to Child

Emergency Contact Name

Emergency Phone Number

Child's Full Name

Current Grade

Child's Birth Date * required

Allergies, medical concerns or other special needs

May God bless you abundantly!

FAITH PENTECOSTAL ASSEMBLY

259 Main St.

Glencoe, ON N0L 1M0

519-287-2448

faithpentecostalassembly@gmail.com

An evangelical church in Southwest Middlesex, with the heart and passion to help each and every person as they connect to God.

© 2026 Faith Pentecostal Assembly (Glencoe)

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