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Currently Enrolled Sibling Child s Name Church Member Date of Birth Child s Age as of Sept. 1 2015 School Parent s Name Address City State Zip Code Phone Email Please Check Which Option Applies Early Pick Up Pick up by 4 00pm Full Time Pick up by 5 50pm I have read and understand this registration form and agree to adhere to all Methodist Children s Academy policies as stated in the MCA handbook which I have received. Parent or Guardian s Signature Date Child Care Facility Certificate of...
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