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TRACTION: TRUTH IN ACTION Registration Form

Child's First Name

Child's Last Name

Street Address

City

Region/State/Province

Postal / Zip Code

T-Shirt Size

Birthday

Child's Grade as of 9-1-23

Parent/Guardian Name

Cell Phone

Email

Emergency Contact Name

Emergency Contact Number

Allergies/Special Needs

Name of Person Who Can Pick Up My Child

Home Church

Thanks! You are now registered for TRACTION

Contact Fox River

Thanks for submitting!

815-695-9926

secretary@foxriverlutheran.org

www.foxriverlutheran.org

2785 E. US 52

Sheridan, IL 60551

©2019 Fox River Lutheran Church

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