Please list the names of any other family members who will be participating.
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Cell Number *
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Email *
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Check ALL the services you (and your family) would be willing to do. *
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You will be contacted prior to the service day about what you will be doing and any details to help you with the project. Please plan to wear any Bethlehem Baptist Church t-shirt. If you have questions, please contact Brenda Nicholson at 706-499-0853. *