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Parent-Child Information Sheet
Parents of Church of the Valley and Little Brown Church, please take the time to fill out this survey about your children and youth.
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Child 1 Name, Grade, Birthday
*
Your answer
Child 2 Name, Grade, Birthday
Your answer
Child 3 Name, Grade, Birthday
Your answer
Parent Name 1
*
Your answer
Parent Name 2
Your answer
Parent 1 Email
*
Your answer
Parent 2 Email
Your answer
Address
*
Your answer
Parent 2 Cell Phone
*
Your answer
Parent 2 Cell Phone
Your answer
Any allergies or other medical concerns? If no, type "NA"
*
Your answer
Other Comments
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