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    Class Registration

    NOTE:  Required fields will be marked with (*) next to the caption

  2. Class Dates(*)
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  3. Your Name(*)
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  4. Your Email(*)
    Please let us know your email address.
  5. Your Phone Number(*)
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  6. Do You Need Child Care?(*)
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  7. NOTE:  If you require Child Care please fill in each child's name and ages below.  If you have more children than available fields listed below then please list the additional children's information in the "Comments" section below.

  8. Child 1 Name
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  9. Child 1 Age
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  10. Child 2 Name
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  11. Child 2 Age
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  12. Child 3 Name
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  13. Child 3 Age
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  14. Child 4 Name
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  15. Child 4 Age
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    Please let us know your message.
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Copyright © 2014,2015 Peachtree Corners Baptist Church. All Rights Reserved.
Tel: 770.448.1313
4480 Peachtree Corners Circle, Peachtree Corners, GA 30092