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"Promise Land For Kids" on-line sign up form

Starting in September, every sunday at 10am for kids ages 4 and up.

To register, please fill out the form below and click "submit" only once. If you have more than 3 children you will need to fill out the form again. Thank you.

*Child 1 Name  *Child 1 DOB *Child 1 Grade
Child 2 Name  Child 2 DOB Child 2 Grade

Child 3 Name  Child 3 DOB Child 3 Grade
*Parent's Name(s)
*Address:  

*City:

*State:

Zip:

*Phone:

Cell:

*Email address:  

*My child(ren) will attend Promise Land classes in Sandown (St. Matthews) Plaistow (The Rock)
Please list any allergies, special needs, or dietary restrictions.

* Required fields

 

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