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Children’s Church
Registration Form
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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Email address
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Church Affiliation
*
Your answer
Parent/Guardian Name
*
Your answer
Address (if different)
Your answer
Phone (if different)
Your answer
Email Address (if different)
Your answer
Parent/Guardian consent: I give permission for ________ to participate in Crosstown Church International Children's Church
*
Your answer
Is there anything you would like us to know about your child?
*
Your answer
Parent'Guardian Signature
*
Your answer
A copy of your responses will be emailed to the address you provided.
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