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Hardin Baptist Church
Wednesday Night Kids & Teen Registration
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* Indicates required question
Student's Name
*
Your answer
Grade PreK-4 through 12th
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Parent/Guardian Name
*
Your answer
Parent Email
*
Your answer
Phone number
Your answer
Address
*
Your answer
Emergency Contact & Phone Number
*
Your answer
May we use photographs of your child for church media use?
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Comments, Allergies, Concerns:
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