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LIGHTHOUSE REGISTRATION

Lighthouse meets on Wednesday nights from 7:00 to 8:30 pm for dynamic bible study, worship, discussion and games. Pre-registration is not required but is incredibly helpful!

Student First Name

Student Last Name

Parent/Guardian First Name

Parent/Guardian Last Name

Student Email

Parent/Guardian Email

Student Phone

Student Birthday

Address

Parent/Guardian Phone (emergency contact number)

5102 Old National Pike | Frederick, MD 21702

(301) 473-4337 | hello@gccfred.org

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