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Registracion del Participante

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Cornerstone Presbyterian Church

Location

109 Gypsy Hill Road

Landenberg, PA 19350

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Contact Tara Rush:

610-255-5512

tarakayelliott@gmail.com

Primero, cuéntenos sobre usted:

Información de los Padres

Moms with elementary age children - if your children are in school during the day and you will not bring any children with you to MomCo meetings, please note that you should register HERE.

Nombre

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Apellido

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Correo Electrónico

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Dirección 1

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Ciudad

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Estado/Provincia

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ZIP/Código Postal

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Teléfono de Contacto 1

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Afiliación de la iglesia local

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How did you hear about Cornerstone's MomCo group?

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Will you be bringing any of your children with you? If yes, please continue the registration process.

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Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Cuéntanos sobre tu participante

Nombre

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Apellido

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Género

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Fecha de nacimiento

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If your child(ren) are younger than Pre-K3, please select nursery and list their ages in the comment section.

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Grado Entrando

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Alergias

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Preocupaciones Médicas

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Does your child have any special needs? If so, please share with us how we can make MomCo a comfortable environment for him/her.

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Comentarios

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