Children's Ministries Registration Form 2017-2018
Today's Date *
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Registration Form Type *
Child #1
First Name *
Your answer
Last Name *
Your answer
Birth Date *
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DD
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YYYY
Gender *
Grade in School *
If child is in Pre-K please indicate the year he/she will start Kindergarten
Your answer
Allergies
Your answer
Who may pick up child from classroom?
Your answer
Special Comments/Instructions:
Your answer
Would you like to add another child? *
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