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Parent Signature Dated Return To Grace Lutheran Church 528 N. Martin Luther King Jr. Boulevard Lansing MI 48915. If transportation cannot be found ample notice will be provided by The Davies Project to the family. 517 775-7457 for General Information 517 899-2425 to Schedule a Ride PROJECT INTAKE FORM Today s Date CHILD S INFORMATION Child s Name Date of Birth Was child born early YES NO Gender Female Insurance Carrier Male If YES how many weeks Siblings number Ages Any special transportation...
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