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Date: June 11-15
Time: 9am-12pm
Ages: K-5th

Renewal Church
4684 Poplar Ave
Memphis, Tn 38117

Becky Bennett- email
Heather Fisher- email

Register your child below:

Child #1
Child #1
Gender
Child #2
Child #2
Gender
Child #3
Child #3
Gender
Parent / Guardian
Parent / Guardian
Phone
Phone
Emergency Contact
Emergency Contact
Emergency Contact #
Emergency Contact #
Food allergies
Medical concerns