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Registration Form 
Child's Name *
Parent/Guardian Name *
Address - street addtress, city, state and zip code  *
Mailing Address (if different)
Contact Information - best phobe number *
Email  *
Age Information - Birth Date  *
Last Grade completed in School  *
Medical Information - Allergies Including Food *
Emergency Contacts - Names and Best Phobe Number  *
Dismissal Information - Your child will only be released to the parent listed above unless another name is listed. Names and Best Number 
May we have permission to photograph your child to use for church history of event. *
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