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St. Paul Lutheran Christian Education Ministry 2021/22
WD4 & Children's Church Registration
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We plan on typically attending on:
Wednesday
Sunday
1st Student's name
Your answer
1st Student's Date of Birth
MM
/
DD
/
YYYY
Grade in school (2020/21)
Your answer
School
Strawberry Hill
Anamosa Middle School
Anamosa High School
Other- please list:
Student's Cell Phone (if applicable):
Your answer
Student's allergies and/or Medical information that we should be made aware of:
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