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 Registration for children's ministry January 10th 2010 
Please register your children for the January London service before the deadline (05/01/2010). Please complete all fields stating n/a if the question is not applicable to your child. You will receive email notification of succesful registration. You will be directed to a confirmation page where there will also be a link to register another child.

First Name of child:
 *
Last Name of child:
 *
Boy / Girl:
 *
Date of birth (dd/mm/yy):
 *
Age:
 *
School Year:
 *
Please give details of any special needs or issues that we should be aware of or write n/a if none:
 *
Name of parent or guardian:
 *
Email:
 *
Mobile Phone:
 *
Church / Congregation:
 *
Mailing list signup:
 
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Security code:
 *
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Email: barry_lamb@icoc.org

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