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*If you have more than one child you wish to attend Miracle Temple Ministries, Children's Ministry, you must submit a separate registration form for each child
MTM Children's Ministry Registration
CHILD'S FULL NAME
*
GENDER
*
CHILD'S AGE
*
BIRTH DATE
*
Month
Month
Day
Year
LIST ALL ALLERGIES
*
FULL ADDRESS
Country/Region
*
Address
*
Address - line 2
City
*
Zip / Postal code
*
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