Child's Information Child's Name:  * Birthday:  * Male Female Grade & Age:  * Allergies:   Parent or Guardian Information Parent/Guardian:  * Relationship: Mailing Address: City: State: Zip: Home Phone: Cell Phone: Email: I Am Registering for: Sunday Morning Program Parents of Preschoolers Group(3yrs-K) Wed Night I would like to be a part of the Adult Parents of Preschoolers Group I would like to volunteer as a Preschool Leader Family Group Wednesday Night I would like to lead discussion I would like to keep points I would like to lead games I would like to hang out Are there any families you would like to be placed with? Do not enter anything in this field:

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