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If you would like to sign up for the ABC Prayer Club, please fill out the form below.
Parent permission is required.
Child's Information
Child's First Name:
Child's Last Name:
Address:
City:
State:
Please Select:
Air/Army Post Office
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Fleet Post Office
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
Saipan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip Code:
Phone Number:
(
)
-
E-mail:
Child's Birthdate:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
,
Year
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
Grade:
Grade
Pre
K
1
2
3
4
5
6
7
8
9
10
11
12
Gender:
Male
Female
Parent Name:
Parent Permission (required):
I, the parent or legal guardian of the child named above, authorize Harvest Christian Fellowship to retain the above information in their files. This information will be used primarily to send mailers and to keep track of my child's involvement in this club. I understand the information will not be given out to anyone without my consent.
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