Truth Trackers Registration Form

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* Indicates required question

Child's Name *

Your answer

Please select *

Boy

Girl

Last school grade completed *

Your answer

Child's age *

Your answer

Name of parents *

Your answer

Street address *

Your answer

City *

Your answer

State *

Your answer

Zip *

Your answer

Parent/Caregiver phone number *

Your answer

Home email address *

Your answer

Home church *

Your answer

Allergies or other medical conditions *

Your answer

Emergency contact (name) *

Your answer

Emergency phone *

Your answer

Relationship to child *

Your answer

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