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Thomas Jefferson Unitarian Church CYRE Registration Form 2016-2017
If your child/youth will be involved in CYRE during the 2016-2017 program year (including care in the Nursery), please register. Thanks :)
1st Adult's full name (last name, first name)
Your answer
1st Adult's relationship to child
Required
1st Adult's address
Your answer
1st Adult's city, state, zip-code
Your answer
1st Adult's email address
Your answer
1st Adult's phone number
Your answer
1st Adult's interests & hobbies
Your answer
Preferred method of receiving information:
Required
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