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Building Up Kids | Learning Tree Group
LEARNING TREE STUDENTS ONLY
March 6th, 13th, 20th
3:30-5:30PM
Contact Information
Name of Group Participant
*
First Name
Last Name
Group Participant's DOB
*
(mm/dd/yyyy)
Name of Parent/Guardian of Group Participant
*
First Name
Last Name
Phone Number
*
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Is your child enrolled with The Learning Tree at Crossroads Church?
*
YES
NO
Please briefly explain why you are interested in your child attending this group: