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Student Name

First Last

Mother's Name

First Last

Mother's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mother's Email Address

Mother's Phone Number

Father's Name

First Last

Father's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Father's Email Address

Father's Phone Number

Contact Preferences

Please add my child's phone number to the Youth Leaders' group text, enabling them to receive updates on Sunday School and other FPC events.

Yes

Please add parent email addresses to the parent distribution list.

Yes

I would like more information on the Parents of Youth Sunday School class.

Yes

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10:45

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AM

Grand Hall

Online

10:00

AM

Online

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