Student Information
Please fill out the fields below to register your son/daughter for the classes.
Full Name of Student: *
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Age of Student: *
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Which Classes Are You Registering For? *
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Students Email (Or Parents Email): *
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Parents Email (unless same): *
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Skype User Name (if known)
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Address *
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Phone number
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Name of Church Your Family Attends
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Suggested Donation: Please make payment into the following account: : 02-0860-0069462-000 (use surname as reference). To pay by credit card visit www.eternalpurposeministries.org/support-epm *
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