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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:
Zip Code:
Phone Number: (-
E-mail:
Child's Birthdate:
 
Grade:
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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