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MJAM

1202 Academy Drive

Eunice, LA 70535

April 12, 2025

9:00A-2:30P ~ Meet at the church at 7:45A

Coordinator: Candi D.

Please complete the form below to attend

Parent's Name*

Parent's Phone Number*

Parent's Email

Child(ren's) Names (First and Last Name Please)*

Will you be chaperoning?

Yes (Please count yourself in the total number)

No

Total number of persons to register*

Prayer Requests

Name

Email

How can we pray for you?

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