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Discover Burnt Hickory Class Registration

Please register each family member that will be attending the class. Note, children birth through 5th grade should be checked-in as usual in the childhood wing. Students are welcome to attend with an adult, or they may attend their Radiate LifeGroup.

*Head of Household #1 - First and Last Name:
Head of Household #2 - First and Last Name:
Primary phone number:
*Primary Email Address:
:
*TOTAL NUMBER of ALL Family Members Attending Class: