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Please submit each child individually. Additional information and parent signatures may be needed before the first day of attendance. Church van may be available for pickup at the school with the largest number of children.

Child's Name

Age 567891011

Grade Kindergarten1st2nd3rd4th5th

School

Parent Name 1

Parent Name 2

Street Address

City

Zip

Email 1

Email 2

Phone

Transporation CarpoolPrivate Vehicle

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