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General Information
Contact Information
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* Indicates required question
Child Name
*
Your answer
Parent/Guardian Name
*
Your answer
Address
*
(street address, city, state, and zip code)
Your answer
Contact Phone Number
*
Your answer
Email Address
*
Your answer
Child's Birthday
*
MM
/
DD
/
YYYY
Last Grade Completed in School
*
Your answer
Does your family attend church at LifeStream?
If no, where do you attend?
Your answer
Will you be attending the kickoff event at noon on August 2nd at LifeStream?
*
Yes
No
Would you like to register another child?
*
Yes
No
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