Pilgrim's Progress Registration
Sunday Nights 5:30-7:30pm

January 23, 30
February 6, 20, 27
March 6, 13, 20, 27
April 3, 10, 24
May 8, 15, 2022

At Covenant ARP, 106 Plantation Blvd., Jacksonville, NC 28540
Contact us at pilgrimsprogress2022@gmail.com
Child's Name (First Last) *
Date of Birth *
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Primary Phone Number *
Primary Email Address *
Home Address *
Parent/Guardian Name (First Last) *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Relation to Child *
Allergies/Dietary restrictions or Medical Concerns *
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