Rites of Passage Winter 2020 Registration
Please complete the information below for the PEARLS Rites of Passage Winter cohort on Saturdays from 9:00am-11:00am beginning February 1, 2020.
Email *
Sacred Sisters, Inc.
Immanuel Praise Fellowship Church
Student’s Last Name *
Student’s First Name *
Address *
City *
Zip *
Phone *
Email Address
Birth Date *
MM
/
DD
/
YYYY
Grade Level *
School Name *
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Phone *
Submit
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