Infant to Preschool Playgroup Registration Form
Please fill out for each family attending.  
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Guardians' First Names *
Guardians' Last Name *
Address *
City *
Zip Code *
State *
Email Address
Home Church Name *
(if any)
Home Church City *
(if any)
First Child
Name *
Gender *
Age *
Second Child
Name
Gender
Clear selection
Age
Third Child
Name
Gender
Clear selection
Age
Fourth Child
Name
Gender
Clear selection
Age
I give Holy Cross permission to post pictures of my child(ren) attending Kids at Easter on their website. *
Required
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