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* Indicates required question
Student First Name:
*
Your answer
Student Last Name:
*
Your answer
Do you regularly attend a Worship Service on Sunday Mornings? If yes, where?
*
Your answer
Grade FINISHED in May:
*
Pre-K (child must be at least 4 years old & completely potty trained)
Kindergarten
1st
2nd
3rd
4th
5th
6th
Food Allergies:
*
None
Other:
Parent/Guardian Name:
*
Your answer
Mailing Address:
*
Your answer
Parent/Guardian Phone Number
*
Your answer
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