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Work properly with some e-mail programs You may also mail a copy to : Cormorant Lutheran Church 14314 County Hwy 4 Lake Park, MN 56554 Student Name: Birthday: Grade he/she will be entering in the upcoming school year: Parent/Guardians Name: Preferred Phone Number: May we text? Physical Address Yes No E-Mail: Emergency Contact: Phone: Is anyone other than parent/guardian authorized to pick up your child? Yes No If yes, Please list names: Medical Conditions Food Allergies Other Conce.
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