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Rooted Registration Fall/Winter
Students 6th-12th Grade
Sunday's 4-5 pm
For 11 Weeks!
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Child 1 Name, birthdate, grade and school attended
*
Your answer
Child 2 Name, birthdate, grade and school attended
Your answer
Child 3 Name, birthdate, grade and school attended
Your answer
Parent/Guardian's Name or Names
*
Your answer
Parent/Guardian's Address
*
Your answer
Parent/Guardian's Phone Number
*
Your answer
Parent/Guardian's Email address
*
Your answer
Food Allergies
*
Your answer
What do you most hope your child gets from this experience?
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Anything else we should know?
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Participation here at FUMC
*
Attend Vates Street campus regularly
Attend Worship online regularly
New Visitor
Partner in Ministry/Member
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