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KICKOFF!
Wed. Sept.6th @ 6:45pm

Blue Skies

2023-24 Registration

Child's First Name

Child's Birthday

Allergies?

Mailing Address

Child's Last Name

Child's Grade in Fall

Parent/Guardian's Full Name

Parent/Guardian's Email

Parent/Guardian's Phone #

Thanks for Registering! Please check your email for confirmation!

CityLight Baptist Church

1121 Sperryville Pike

Culpeper, VA 22701

540.321.4400

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