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Alpha Registration Form
Please give us your contact information so we can connect with you about participating

in an Alpha class here at First Assembly.

Phone:  Email: 
Mailing Address: 
How many children would you have attending?
Early Childhood or JC Kids?  ages 0 through 5th grade? 
Describe any specific dietary needs for you or your children? 
Other people I would like to be in a small group with: