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2021-2022 Children's Registration
Infant - 12th grade registration for Bethel's ministries
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* Indicates required question
Parent's Names
*
Your answer
Parent's email address
*
Your answer
Mother's Cell Number
*
Your answer
Father's Cell Number
*
Your answer
Parent's Home St Address
*
Your answer
Parent's City
*
Sheldon
Other:
Parent's State
*
Iowa
Other:
Parent's Zip
*
51201
Other:
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