World Harvest Worship Center
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BAck 2 School Pre-Registration
Parent/Guardian Information
First Name
Last Name
Address 1
Apt/Lot#-(If no apt or lot# put N/A)
Country
City
State
Zip/Postal Code
Email
Phone Number
All Children Must Be Present At Event
Child #1 Information
First Name
Last Name
Grade Level
K-5
6-9
10-12
More Info
Boy
Girl
Lives with Parent/Guardian
Haircut Requested
Child #2 Information
First Name
Last Name
Grade Level
K-5
6-9
10-12
More Info
Boy
Girl
Lives With Parent/Guardian
Haircut Requested
Child # 3 Information
First Name
Last Name
Grade Level
K-5
6-9
10-12
More Info
Boy
Girl
Lives With Parent/Guardian
Haircut Requested
Child #4 Information
First Name
Last Name
Grade Level
K-5
6-9
10-12
More Info
Boy
Girl
Lives With Parent/Guardian
Haircut Requested
In the event of limited supplies WHWC & HELP Outreach reserve the right to limit 2 Back Packs per household
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