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mulberry
Can we use your child's photo-not name- on our website and/or other church media?
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Child's Full Name
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Name of current church
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Date of Birth
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Address
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Parent's Name
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Allergy List
Are you currently a member of a church?
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Does your child have any allergies?
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Emergency Contact
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Emergency Contact Phone Number
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Age
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Phone Number
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Important Information about your child:
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Email
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