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Adventure Club Registration Form
If you would prefer to fill out this form online, please complete
one form per child.
In case of emergency, please contact:
Please list any allergies or medical situations (diabetic, asthma, seizure disorder) that we would need to be aware of:
In case of an emergency I hereby authorize my child to be treated by a Certified Emergency Personnel (i.e.: EMT, First Responder, E.R. personnel).
Signature of parent/guardian
The information on this Registration Form is accurate to the best of my knowledge. I agree to complete a new Registration Form if there is a change in the information given.
Signature of parent/guardian
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By clicking "Submit", I acknowledge that my personal data will be treated with strict confidence and in accordance with the
First Baptist Church Privacy Policy
.
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