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Registration – Jr & Sr High School
Registration – Jr & Sr High School
Jr & Sr High Registration
Ages: Entering 6th Grade through High School
This Group meets in the evening at Kenilworth Gospel Chapel: 6:30pm-8:30pm
Child's Name
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Last
Contact E-mail
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Street Address
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City
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State
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Zip Code
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Phone Number
*
Mother's Name
*
First
Last
Father's Name
*
First
Last
Church Currently Attending
*
Grade Entering in Fall
*
Age
*
Name of Person Registering Child
*
First
Last
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