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Child's Name
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Parent/Guardian Name
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Address
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City
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State
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Zip
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Home Phone
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Email address for parents
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Email address for young person
(if applicable)
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Phone number to reach
parent/guardian in case of an emergency
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Age
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Grade in School (Fall 2009)
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School and School District
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Allergies/Medical
Information/Other
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| Other opportunities at St. Paul's
(such as Youth Events, serving as an acolyte, videographer, assisting
in Children's Chapel, assisting with Good News Chapel, outreach
ministries) in which the young person is participating or would like to
participate: |
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