Transcription of Praise Dance Ministry Fall Registration Form - …
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Praise Dance Ministry Fall Registration Form - …
Fellowship Missionary Baptist Church 3355 4th Street North Minneapolis, Minnesota 55412 Tel: Fax: Praise Dance Ministry fall Registration form STUDENT INFORMATION Last Name First Name Address City Zip Code Home Phone ( ) Cell ( ) E-mail Grade PARENT INFORMATION (under 18 years only) Parents/Guardians Mother Father Address Mother Father (if different) Home phones Mother ( ) Father ( ) Office phone Mother ( ) Father ( ) Cell phone Mother ( ) Father ( ) E-mail Mother Father EMERGENCY CONTACT (used only in the event parent/guardian cannot be located) Name Phone ( ) GENERAL INFORMATION Although not required, do you have Dance experience? Where and How Long?
Title: Microsoft Word - Praise Dance Ministry Fall Registration Form.doc Author: user Created Date: 8/6/2012 2:03:54 PM
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