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* 1. First and Last Name of Parent(s)/Guardian

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* 2. Email of Parent(s)/Guardian

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* 3. Home Number of Parent(s)/Guardian

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* 4. Cell Number of Parent(s)/Guardian

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* 5. Age of child/Ages of children

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* 6. Grade of child/Grades of children

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* 7. Are parent(s)/guardian a member of Central UMC?

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* 8. Is child a member/Are children members of Central UMC?

T