Pre-Register your Child – Hidden Treasures Assembly of God

Hidden Treasures Assembly of God

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Frequently Asked Questions XXNew Here? New to Christianity? XXXXOur Beliefs XXXXXYouth Group XXXXX Sermon Archive XXXXX

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Your Name *

First

Last

Your birthdate mm/dd/yyyy *

Address

City, State, Zip

Best phone # to reach you *

Spouse's Name

First

Last

Spouse's birthdate mm/dd/yyyy

Best phone # to reach spouse

Parent/Guardian Email *

Marital Status

Married
Single
Divorced
Widowed

Minor children Living at Home:

Name *

First

Last

Gender

Male
Female

Date of Birth *

Grade in School

Food or environmental Allergies?

Name

First

Last

Gender

Male
Female

Date of Birth

Grade in School

Food or environmental Allergies?

Name

First

Last

Gender

Male
Female

Date of Birth

Grade in School

Food or environmental Allergies?

Name

First

Last

Gender

Male
Female

Date of Birth

Grade in School

Food or environmental Allergies?

Do any of your Children have disabilities or special needs that we should be aware of? *

Hidden Treasures Assembly of God

433 W. King Ave.

Post Office Box 2007 A Community where many become one.

Kingsland, GA 31548

912-729-2551

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