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FISH Jr. Friends In our Savior’s Hands Jr. (1st, 2nd, & 3rd Graders) Name of the FISH Jr.:__________________________________________________ Age and Grade: _____________ Allergies:__________________________________________________ Address:_________________________________________________________ Home Phone Number:_______________________________ Parents/Guardians of the FISH Jr.: 1. ________________________________________ cell phone#___________________ 2. ________________________________________ cell phone#___________________ Email Address: ___________________________________________________________ Would you like to receive Dutilh’s E-News?

Yes

No

Does the FISH Jr. have Siblings? Please list their names and age/grade below: _______________________________________________________________________ Activities the FISH Jr. is involved in: ___________________________________________________________________

Special needs or concerns of the FISH Jr.: ____________________________________________________________________

 If you’d like to discuss anything privately, Jill Sherwood will be available for you. 


724.776.1093 or childrenministry@dutilhumc.org


Fish jr info sheet