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Children's Ministry Class Registration

Parent Name(s) *

Address

Home Phone (with area code)

Cell Phone (with area code)

Parent's Email *

Child(rens) Details

Please enter information about each child, one child per line.

We'll be participating in (check all that apply) *

Weekly Agape Hour, Preschool-Kindergarten, Tuesdays at 3:45-4:30 pm

Monthly Art & Bible Class, 1st grade – 5th grade, 3rd Tuesday of the month

Children names *

Birthdates

Ages *

Grades

School grade

Additional Information

Known Allergies, Dietary Restrictions, and/or Educational Needs

Do we have your permission to use photos with your child(ren) in them on our website? *

Yes

No

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