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Please provide the following information, filling in the required fields* before submitting this form (those with an asterisk*). Please let us know if your child has any allergies by writing in the comment box.
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*Clubber's First Name
*Clubber's Last Name
Clubber's Address
Clubber's City
Clubber's Zip
*Phone (Evenings)
Cell Phone
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*Clubber's Grade
Clubber's Birth Date
*Parents or Guardian
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Indianola Community Church
Phone 515.961.8311 · Fax: 515.961.0309 · Email:
icc@indianolacc.org
14424 Kennedy Street · Indianola, IA 50125
Map & Driving Directions
Service Times: 9:00 AM & 10:45 AM