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Registration

Parent/Guardian Name

Email

Phone

Child's Name

Address

Birthday

Grade

Allergies or Special Needs

May we use photos of your child on our Website/Facebook?

Do you live in the Seminole Woods area and need a ride? Please sign the Medical & Transportation Release and Emergency Contact FormClick Here and print and sign release

Thanks!!!

See you at SummerSplash

Summer Splash.png

Community

Church

956 S. Old Dixie Highway

Bunnell, FL 32110

(386) 437-1010

cbc956pastor@gmail.com

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