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Reaching the world with the hope of Jesus Christ through the power of God's Holy Spirit.

Wee Wed. Registration 



 Printable Form

Online Registration Form

Child's Name :       

Birth Date:             

Parent's Name:      

Street Address:      
                             

Phone Number       Home:                Cell:       

Emergency Phone Numbers:                           

Allergies:               

Insurance Information in case of emergency:       

Other information, which might help us with your child:       
                             
                                          

Other family or friends who may also have permission to pick up your child:
                             


                             
                                                Legal Guardian's Signature

Do we have permission to photograph your child?        Yes            No

                                                                   

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