Easter For Kids
March 12, 2016
9 a.m. to noon
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Street Address *
Emergency Contact Name *
City *
Zip *
State *
Emergency Contact Phone Number Day of Event *
1st Child's Name
(First and Last)
Household Name *
Phone Number *
(xxx) xxx-xxxx
1st Child's Date of Birth
MM/DD/YYYY
Grade in School
Počisti izbor
2nd Child's Name
(First and Last)
2nd Child's Date of Birth
MM/DD/YYYY
Grade in School
Počisti izbor
3rd Child's Name
(First and Last)
3rd Child's Date of Birth
MM/DD/YYY
Grade in School
Počisti izbor
Permission to Photograph *
Permission to Attend *
Allergies for any children: *
I would like to learn more about Gethsemane Lutheran Church
Počisti izbor
I would like to learn more about Gethsemane Lutheran School
Počisti izbor
Pošlji
Počisti obrazec
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