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 CrossWalk Registration 
To register for CrossWalk, please submit one registration per household.

Last Name:
 *
Participant 1 Name
 *
Participant 1 Age Group
Participant 2 Name
Participant 2 Age Group
Participant 3 Name
Participant 3 Age Group
Participant 4 Name
Participant 4 Age Group
Email Address:
 *
Telephone
 *
Address:
 *
City:
 *
State:
 *
Zip Code:
 *
Security code:
 *
* indicates a required field


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CHRIST LUTHERAN CHURCH

425 Riverside + Belvidere, IL 61008

Phone: 815-885-CLC2 (2522)

FAX: 815-885-2562


 

A Place to Belong, Believe, and Become

 
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