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Contact Us
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  *Child's First Name:
  *Child's Last Name:
  *Parents' First & Last Name:
  *Date of Birth:
  *Grade:  Preschool
 Kindergarten
 First Grade
 Second Grade
 Third Grade
 Fourth Grade
 Fifth Grade
  *Home Phone Number:
  *Cell Phone Number:
  *Email Address:
  *Allergy & Medical Information:
  *Children's Ministry Program:  Sunday School
 Children's Choir
 Faith & Fun Nights
 4th & 5th Grade Fun

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