REGISTER NOW PANAGIA PANTOVASILISSA Parish Name GREEK ORTHODOX CHURCH Church Parish StreetCreek Road 3001 Tates Parish City, State, Zip Lexington, KY 40502 JUNE 1 at 8:45 Day, Month Dateam to 2:00 pm to Day, Month Date JUNE 5 9:00 a.m. – noon 9:45 am 2:00 pm Ages 3 5 – 11 14 Everyone welcome! May 22 Date Please register by Deadline For more information, call Mandy Xenos Coordinator Name (859) 420-7492 (###) ###-#### CRAFTS MUSIC LESSONS WORSHIP ACTIVITIES SNACKS GAMES DAILY ASSEMBLIES VCS Registration Form ____ Parent’s Name Phone # Street Address Cell/Emergency # City, State, Zip E-mail address Caregiver’s Name Caregiver’s Phone # Child’s Name Baptismal Name Grade Next Fall Age Birth Date Church/Parish Affiliation Food allergies or other medical conditions we should be aware of Yes, I would like to help with Mail registration to Please enclose $ © 2008 Barbara Harris, Laura Morton, and Rhonda Webb The purchaser (or institution for which this program was purchased) is granted permission to reproduce this page for its own use in presenting this program. per child.
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