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Registration For
Boys Only
at First Baptist of Elimsport
Wednesday Evenings 6-7:30
Begins September 6, 2023
For Boys in 4th, 5th, and 6th grades only
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Email
*
Your email
Parent or Guardian's Full Name
*
Your answer
Email
*
Your answer
Preferred phone number of parent/guardian
*
Your answer
Name of boy you are registering
*
Your answer
Grade he is entering for 2023-24 school year
*
4th
5th
6th
Any dietary restrictions? (please describe if yes)
*
Your answer
Any allergies or health concerns that we should know about?
*
Your answer
Emergency Contact with phone number (in addition to the primary adult listed above)
*
Your answer
Any additional information you would like us to know about your son?
*
Your answer
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