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Childs Name
Please enter the grade the child has / will have completed by summer.
What is you frist activity?
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What is you second activity?
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Please indicate if there are any food or other allergies that should concern us or N/A for none...
Please let us know of any other concerns not otherwise addressed.

Sunday: Adult Sunday School @ 9 am / Regular Service @ 10 am

Wednesday: Prayer and Worship Service @ 6:30 pm


900 Fair Oaks Dr. Belleville IL 62221