CMPC LOGOS Child Registration Form
Child's Last Name *
Your answer
Child's First Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Grade *
T Shirt Size *
Child's Last Name
Your answer
Child's First Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Current Grade
T Shirt Size
Child's Last Name
Your answer
Child's First Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Current Grade
T Shirt Size
Name of parent responsible for payment *
Your answer
Parent's email *
Your answer
Street Address *
Your answer
City *
Your answer
Zip *
Your answer
I give permission for photos of my child(ren) to be used in LOGOS or CMPC publications, presentations, or included in the CMPC or GenOn Ministries web site. *
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