Christian Education Registration
Please fill out one form per youth
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Parent # 1 Name *
Parent # 2 Name
Parent Email *
Can we add you to our email lists? *
Required
Parent Phone Number *
Full Address *
Child's Full Name *
Child's Preferred Name
Child's Date of Birth *
MM
/
DD
/
YYYY
Grade child is in, unless it is after June, then what grade will child be going to?  *
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