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 address *
Sacred Sisters, Inc.
Immanuel Praise Fellowship Church
Student’s Last Name *
Your answer
Student’s First Name *
Your answer
Address *
Your answer
City *
Your answer
Zip *
Your answer
Phone *
Your answer
Email Address
Your answer
Birth Date *
MM
/
DD
/
YYYY
Grade Level *
Your answer
School Name *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Phone *
Your answer
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