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Grace MOPs Kids Registration 2023-2024
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* Indicates required question
Parent Name (Last, First)
*
Your answer
Phone Number
*
Your answer
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Child's Birthdate
*
Your answer
Allergies?
*
Your answer
Nursing?
*
Your answer
Potty Trained?
*
Yes
No
Do you consent to pictures being taken of your child to be used in our social media group and Grace Church bulletin?
*
Yes
No
Anything else we should know?
*
Your answer
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