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Redeemer 2020-2021 Registration for Children and Youth
The Church of the Redeemer, 5603 North Charles Street, Baltimore, MD 21210
Contact Jan Schroeder: jschroeder@redeemerbaltimore.org, 410-435-7333, ext. 225 (cell: 410-591-7926)
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Email *
Parent/Caregiver 1 last name: *
Parent/Caregiver 1 first name: *
Parent/Caregiver 1 cell phone number: *
Parent/Caregiver 2 last name: *
Parent/Caregiver 2 first name: *
Parent/Caregiver 2 cell phone number: *
Family home address:
City:
Zip Code:
I am on the distribution list to receive regular email updates for families with children and youth:
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When we can meet in person again, how can we help? I/we would like to learn more about how to support programs for children and youth-- please send details and information:
Child 1 first name:
Child 1 last name:
Child 1 age:
Child 1 grade:
Child 1 school:
Child 1 birth date:
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DD
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Is Child 1 baptized?
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Please register Child 1 for the following (choose as many as apply for this child):
Allergies and other details to help us best serve Child 1:
If you have no additional children to enter, please scroll all the way down and click on "Submit."
Child 2 first name
Child 2 last name
Child 2 age
Child 2 grade
Child 2 school
Child 2 birth date
MM
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DD
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YYYY
Is Child 2 baptized?
Clear selection
Please register Child 2 for the following (choose as many as apply for this child):
Allergies and other details to help us best serve Child 2:
If you have no additional children to enter, please scroll all the way down and click on "Submit."
Child 3 first name:
Child 3 last name:
Child 3 age:
Child 3 grade:
Child 3 school:
Child 3 birth date:
MM
/
DD
/
YYYY
Is Child 3 baptized?
Clear selection
Please register Child 3 for the following (choose as many as apply for this child):
Allergies and other details to help us best serve Child 3:
If you have no additional children to enter, please scroll all the way down and click on "Submit."
Child 4 first name:
Child 4 last name:
Child 4 age:
Child 4 grade:
Child 4 school:
Child 4 birth date:
MM
/
DD
/
YYYY
Is Child 4 baptized?
Clear selection
Please register Child 4 for the following (choose as many as apply for this child):
Allergies and other details to help us best serve Child 4:
Submit
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