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| Student Information |
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male
female |
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Yes
No |
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Yes
No |
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7
8
9 |
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| If your child has special needs or circumstances, please share any instructions or helpful information below to ensure the best possible experience with your leader. Nobody knows your child better than you. |
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Yes - I understand I will be contacted by Heather Hjelmstad - Ministry of Inclusion Coordinator
No |
| Parent/Guardian Information |
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Yes
No |
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Yes
No |
| Choice of time for fall 2012 |
4:30 PM Wednesday
6:30 PM Wednesday
6 PM Sunday |
4:30 PM Wednesday
6:30 PM Wednesday
6 PM Sunday |
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Yes - I would love to lead a C3 small group!
No |
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| Registration is not complete without payment. You will be brought to the e-pay page when you click submit. Full and partial scholarships for tuition are available. Please contact Pastor Todd at todd@lordoflife.org. Questions about your registration? Contact Gerad Remus at gerad@lordoflife.org. |
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