SCM Backpack Club — Summerhill Community Ministries

SCM Backpack Club

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

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Child #1

(Name and Age)

Child #2

(Name and Age)

Child #3

(Name and Age)

Child #4

(Name and Age)

Child #5

(Name and Age)

Child #6

(Name and Age)

Child #7

(Name and Age)

Child #8

(Name and Age)

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