Coronado Community United Methodist Church: Home: The Amazing Grace Race Registration 2011

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The Amazing Grace Race Registration 2011 Please complete the form below for registration for The Amazing Grace Race, July 24-28, 2011. * Required Errors First Name * Last Name * Camper's Grade (as of 9/1/2011) * Camper's Age * Camper's Address * Home Phone ( ) - ext. Mother's Name * Mother's Phone Number * ( ) - ext. Mother's Employer Mother's Employer's Phone Number ( ) - ext. Father's Name Father's Phone Number ( ) - ext. Father's Employer Father's Employer's Phone Number ( ) - ext. Medical information (food allergies, medications, etc.) Parent's location during rehearsal * Parent's cell phone in case of emergency ( ) - ext. Other emergency contact number in case parent can't be reached * ( ) - ext. Camper would be interested in: Singing a solo Having a speaking part
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Sunday Services 8:15, 9:30 and 11 a.m.

Special Worship is offered at 5 p.m.

201 S. Peninsula Ave

New Smyrna Beach, FL 32169

Main number: (386) 428-6252

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