First Baptist Church BLAST Ministry           Jr. High Registration
The Jr. High program is for kids in grades 7 & 8 starting fall of 2023.

We are excited to see you again or for the first time!

Event Timing: Every Wednesday from 6-7:30pm, starting September 20, 2023
Event Address: 200 N Mill Street | Colfax, WA 99111

Cubbies - 3-5yrs
Explorers - K-2nd Grades
Grapple - 3rd-6th Grades
Jr. High - 7th-8th Grades (meets at the Annex, next to the Church)

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Email *
Name *
Grade *
Birthdate *
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/
DD
/
YYYY
Parent(s)/Guardian(s) Name (First and Last name) *
Mailing Address *
Contact Number (Cell/Work; both if applicable) *
Emergency Contact Name (First and Last name) *
Emergency Contact Number (Cell/Work; both if applicable) *
Please list any allergies or medical conditions. If you are listing for multiple kids, please designate the kid and condition together, separate each combination by a comma (i.e. Susan Anderson Peanuts, Tim Anderson Bees, etc). If you have no allergies or medical conditions, write "None". *
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