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莱城华人基督教会儿童暑期圣经班报名表
Lexington Chinese Christian Church 2017 VBS Application form 7/17 - 7/21 7pm - 9:15pm 3-10 yrs old free admission
English Name
Your answer
Birthday
MM
/
DD
/
YYYY
Chinese Name
Your answer
Age
Your answer
Last School Grade Completed
Your answer
Address: street
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Father's name
Your answer
Mother's name
Your answer
Parent email address
Your answer
Phone number
Your answer
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