Get the free GG_registration_insert_2011_2012.qxp - trinitycamphill

For Office Use Only Received Trinity Preschool Playgroup 2000 Chestnut Street Camp Hill, PA 17011 (717) 737-9921 ext. 241 Reg. Fee Check # Cone. Letter H EI 2014-2015 REGISTRATION (PLEASE PRINT) Child

Name: MOTHER'S FULL NAME: AGE: Month Day First Middle Girl Boy Name you wish your child to be called at school: Year Address: Street City State Zip Code Home Phone Are you a Trinity Church Member? (Yes / No) Religious Preference: Mother s Name: MOTHER'S FULL NAME: (I am not a Trinity Church member if I do not specify in the contact information above) AGE: Month Day First Middle Girl Boy Name you wish your child to be called at school: Year Address: Street City State Zip Code Home Phone Are you a Trinity Church Member? (Yes / No) Religious Preference: Mother s Name: MOTHER'S FULL NAME: (I am not a Trinity Church member if I do not specify in the contact information above) Parent s Name: Parent's full name: Child s Name: MOTHER'S FULL NAME: AGE: Month Day First Middle Boy Sister Brother Son Daughter Year Address City State Zip Code Home Phone Are you a Trinity Church Member? (Yes / No) Religious Preference: Solicitor : (A copy of your legal name and address:) Religious Preference: Mother Solicitor: (A copy of your legal name and address:) Religious Preference: Parents' Full Name: (I am not a Trinity Church member if I do not specify in the contact information above) Child s Name: MOTHER'S FULL NAME: (I am not a Trinity Church member if I do not specify in the contact information above) Religious Preference: School : (Name of the religious school /s:) Are you a Trinity Church Member? (Yes / No) Religious Preference: Religious Preference: Name of Organization: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Faith Preference : (This item is required to identify your organization) Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference: Religious Preference.

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