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Bible Baptist Church

"Where we have a heart for the truth and for you."

"Emerald Crossing"

PARENT/GUARDIAN - First name*

PARENT/GUARDIAN - Last name*

CHILD'S - First Name*

CHILD'S - Last Name*

Select Boy or Girl Please*

Boy

Girl

Grade Entering in September*

Your Email*

Cell Phone*

Photos will be taken. Is ok for your child to be in any?*

Yes

No

I am requesting a one on one for my child.

Yes

Allergies/Special Instructions*

Shirt Size*

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

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