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* First Name
* Last Name
* Phone
* Email
* Name of Ministry
Please complete this section if registering for childcare. Childcare is provided for children in nursery through 5th grade. A light snack will be provided, but breakfast will not be provided.
Full Name of 1st Child
Age of 1st Child
Please list any food allergies
Full Name of 2nd Child
Age of 2nd Child
Please list any food allergies
Full Name of 3rd Child
Age of 3rd Child
Please list any food allergies
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