Youth Group Contact info
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Mom's first and last name:
Dad's first and last name
Mom's mailing address
Dad's mailing address (if different from mom)
Mom's phone number
Dad's phone number
Mom's email address
Dad's email address
First student's name, grade, birthdate, and school *
Second students name, grade, birthdate, and school (if applicable)
Third students name, grade, birthdate, and school (if applicable)
Fourth students name, grade, birthdate, and school (if applicable)
First student's email address and phone number (if applicable)
Second student's email address and phone number (if applicable)
Third student's email address and phone number (if applicable)
Fourth student's email address and phone number (if applicable)
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