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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 in FALL 2024
This Group meets
in the evening
at Kenilworth Gospel Chapel: 6:30pm-8:30pm
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Teen's Name
*
First
Last
Your Contact E-mail
*
Street Address
*
City
*
State
*
Zip Code
*
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 (If not parent)
*
First
Last
Comment or Message
Message
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