Truth Jr. Registration
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Child's Information
Child's Name
*
Child's Birth Date
*
Gender
*
Please select all that apply.
Male
Female
Grade
*
Please select all that apply.
Kindergarten
1st
2nd
3rd
4th
5th
Allergies or other medical conditions
Parent's Information
Parent's Name(s)
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
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ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Home Phone
*
Cell Phone
*
Email
*
This address will receive a confirmation email
Submit
Description
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