Service Times : Sundays at 8:00am, 9:30am, and 11:15am

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Family Name
Child 1 Name
Birthdate
School Grade
Allergies
Child 2 Name
Birthdate
School Grade
Allergies
Child 3 Name
School Grade
Birthdate
Allergies
Child 4 Name
Birthdate
School Grade
Allergies
Complete Address
Home Phone or Cell phone
Email
Parent/Guardian
Emergency Contact/name and number