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Fri 8/6 6:30-9:30pm; Sat 8/7 9am-4pm; Sat 9/4 9am-12pm
Aug 6, Aug 7, Sept 4 (3 sessions)

New Berlin Road Church
2351 New Berlin Road, Jacksonville

English Childcare not available

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Husband First Name
Last Name

Date of Birth

Cell Phone #Format: 555-456-7890
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Wife First Name
Last Name

Date of Birth

Cell Phone #Format: 555-456-7890
Email Address

Mailing Address same as Husband

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