Church School Registration 2016-2017
Child's Last Name
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Child's First Name
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Date of Birth
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Grade for 2016-17 School Year
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Home Address
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Home Phone
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Parent/Guardian 1 Full Name
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Parent/Guardian 1 Phone
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Parent/Guardian 2 Full Name
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Parent/Guardian 2 Phone
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Parent 1 Email
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Parent 2 Email
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