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• Last Name ^*
• Mailing Address ^*
• City ^*
• Zip Code ^*
• Church
• Father's Name
• Father's Cell Number
• Father's Email
• Mother's Name ^*
• Mother's Cell Number
• Mother's Email Address ^*
• Home Phone

  Land Line
• Children ^*

  List name, age, and grade of each child.
• Volunteering, part 1

  At least two areas to help organize:

  Board Curriculum Fair Field Trips High School Graduation Kindergarten Graduation Poetry Tea Science Fair Spelling Bee Testing
• Volunteering, part 2
  Bowling Christmas Party Easter Party Field Day School Portraits Valentine's Party Yearbook Playgroup (PK-2nd) Elementary (3-5th) Middle School (6-9th) High School (9th-12th) Mom's Night Out Other

  Please specify:
• Facebook
  http://www.facebook.com/ 
• Membership Fee ^*

  Paid fee under "Subscriptions" tab?

  Yes No