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Brown Springs Church of God
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Parent/Guardian First Name (
Required
)
Parent/Guardian Last Name (
Required
)
Contact number (
Required
)
Email address (
Required
)
Transportation (
Required
)
We will only pick up and drop off from 2 locations. Your child will only be dropped off where he/she was picked up from. If yes, please choose a desired location.
Yes
No
Pick up/ Drop off Location (
Required
)
Oakland IGA
MCMHSParking Lot
Food Allergies (
Required
)
Participant first and last name (
Required
)
Participant grade level entering (
Required
)
K
First
Second
Third
Fourth
Fifth
Sixth
Participant 2 First and Last Name
Participant 2 grade entering
K
First
Second
Third
Fourth
Fifth
Sixth
Participant 3 first and last name
Participant 3 grade entering
K
First
Second
Third
Fourth
Fifth
Sixth
What church do you regularly attend?
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