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| Adult | Youth/Young Adult | Children |
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1.
Child's
name____________________________________________________ Date
of birth
_________ Grade in fall________ 2.
Child's
name_______________________________________________________
Date of birth _______ Grade in fall_________ 3.
Child's
name_______________________________________________________
Date of birth _______ Grade in fall_________ Parent(s) name _____________________________________________________________________________________ Street address ___________________________________________________________________ Apt. #__________ City______________________________________________________________State_______________ZIP___________ Phone ______________________________ Phone ____________________________Phone __________________________ Email _______________________________________________________________________________________ In case of emergency, contact (name) ________________________________________________(phone)_______________________________________ The
suggested donation for
Wondeful Wednesdays is $60 for one child and $40 for
other children in the same family to help cover the cost of
dinners. If you cannot afford that amount,
give what you can. Please make checks payable to
Church of the Cross. There is no charge for other programs. . You
can print out and return the form
to Church of the Cross, 475 W. Higgins Road, Hoffman Estates, IL 60169, or copy
it into a Word document, attach it to an email, and send it
to cotc_children_ministry@yahoo.com.. | |||||
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Cross |
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