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Lutheran Church of the Cross Parent's Night Out
Sunday, December 7, 2008 (11:30 a.m. - 4:30 p.m.)
Child(ren) Information
Child Information Form (Child
1
)
(fields in RED are required)
Name
Birthdate
(mm/dd/yyyy)
Age
Select Age
3
4
5
6
7
8
9
10
11
12
Known Food Allergies/Health Matters/Special Instructions:
..or..