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What To Expect

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Next Steps

Community Groups

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Kids Celebrate

662-260-0160

celebrationchurchmstupelo@gmail.com

Kids Celebrate!

Check-In

Parent's First Name

Parent's Last Name

Secondary Parent's First Name:

Secondary Parent's Last Name:

Primary Phone Number:

Secondary Phone Number:

Address 1:

Address 2:

City

State:

Zip Code:

Country

Free Text

Child 1 Information

Child's First Name:

Child's Last Name:

Date of Birth:

Age

Any allergies or special needs?

Yes

No

Allergies or Special Needs Information:

Potty Trained

Yes

No

N/A

Pacifier Okay?

Yes

No

N/A

Snacks Okay?

Yes

No

N/A

Free Text

CHILD 2 INFORMATION

Child's First Name:

Child's Last Name:

Date of Birth:

Age

Any allergies or special needs

Yes

No

Allergies or Special Needs information?

Potty Trained?

Yes

No

N/A

Pacifier Okay?

Yes

No

N/A

Snacks Okay?

Yes

No

N/A

Free Text

CHILD 3 INFORMATION

Child's First Name:

Child's Last Name:

Date of Birth:

Age

Allergies or Special Needs?

Yes

No

Allergies or Special Needs information:

Potty Trained

Yes

No

N/A

Pacifier Okay?

Yes

No

N/A

Snacks Okay?

Yes

No

N/A

Thank you for registering!

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SUNDAY • 10:30AM
COMMUNITY GROUPS • 6:30PM

VISIT

405 Monument Drive
Tupelo, MS 38801

CONTACT

662-260-0160
celebrationchurchmstupelo@gmail.com

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