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Event Registration

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BA: rEcess (Special Needs Ministry) on Friday, September 11, 2020 @ 6:00 PM

Information below is for each child attending rEcess. Please do not register parents :
*First Name of Child rEcess Attendee:
*Last Name of Child rEcess Attendee:
*Age :
Emergency Contact First & Last Name *For Child rEcess Attendee, please list Parent!:
*Emergency Contact Cell Number: