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I would like a ride to Crossroads Baptist Church!
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Rider's First/Last Name(s):
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Rider's Full Address:
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Parent/Guardian's First/Last Name:
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Parent/Guardian Phone Number:
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Can this phone number receive texts?
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Any medical issues?
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Any food allergies?
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Any other special needs?
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Name/Number of emergency contact (other than listed above):
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Do you grant permission for your child(ren) listed to attend Crossroads Baptist Church and to be transported there by a church bus, van, or personal vehicle of a designated driver?
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