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DOB cannot be a future date.
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Gender is required.
Allergies
Grade (2024-2025 School Year)
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Grade (2024-2025 School Year) is required.
Parent/Guardian
Information
NOTE: This information will be used for verification if you ever misplace your child’s pick up tag, or if we need to reach you during programming.
First Name
First Name is required.
Last Name
Last Name is required.
Email
Email address is not valid
Email is required.
Phone Number
Phone Number is required.
DOB
Jan
Feb
Mar
Apr
May
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Jul
Aug
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Oct
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Dec
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1
2
3
4
5
6
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1915
1914
1913
1912
1911
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1908
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1900
DOB cannot be a future date.
Gender
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Gender is required.
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What brought you to Cornerstone?
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What brought you to Cornerstone? is required.
Is this your first weekend attending a Cornerstone service?
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Is this your first weekend attending a Cornerstone service? is required.
Do you have additional children to add?
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Do you have additional children to add? is required.
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