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Registration Form
Parent Name:
Email Address:
Phone Number:
Best Way to Contact You:
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Email
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Text
Child 1
Child Name:
Emergency Contact:
Health Concerns (Allergies):
Gender:
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Favorite Hymn or Bible Class Song:
Grade Level (Fall 2025):
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1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child 2 (optional)
Child Name:
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Gender:
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Male
Female
Favorite Hymn or Bible Class Song:
Grade Level (Fall 2025):
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1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child 3 (optional)
Child Name:
Emergency Contact:
Health Concerns (Allergies):
Gender:
-- Select --
Male
Female
Favorite Hymn or Bible Class Song:
Grade Level (Fall 2025):
-- Select Grade --
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child 4 (optional)
Child Name:
Emergency Contact:
Health Concerns (Allergies):
Gender:
-- Select --
Male
Female
Favorite Hymn or Bible Class Song:
Grade Level (Fall 2025):
-- Select Grade --
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Submit Registration
