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Summer 2022 Student Ministries Registration
Wednesday Evenings 7:00-8:00 pm beginning June 8th - August
Open to students going into 7th - 12th grade Fall 2022
Outdoor games and Bible Study. Please dress accordingly.
Questions? Pastor Jonathan
jgentry@bethesdabaptist.us
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Student's last name
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Student's first name
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Gender
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Birthdate
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Grade Fall 2022
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7th
8th
9th
10th
11th
12th
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Street address
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City
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State
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Zip code
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Phone #
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Parents Name
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Emergency Contact Name
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Emergency Contact Relationship
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Emergency Phone #
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Email
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Medical/Allergy Information
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Photos may be taken of my student by Bethesda Baptist for local church use only
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