Questions marked with a * are required

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CSI Registration 2012   Child's (1) Information:     First Child's Information: First name * Last name * Friend I am bringing Special needs or allergies: *     Grade Completed by Spring 2012 -- Select --K or 5 by Dec.1, 2011FirstSecondThirdFourth     Child (2) Information:     Second Child's Information: First name Last name Friend I am bringing Special needs or allergies:     Grade Completed by 2011 -- Select --K or 5 by Dec.1, 2011FirstSecondThirdFourth     Child (3) Information:     Third Child's Information: First name Last name Friend I am bringing Special needs or allergies:     Grade Completed by 2011 -- Select --K or 5 by Dec.1, 2011FirstSecondThirdFourth

Calvary Church, Grand Rapids, MI / 616-956-9377