G.A.G.A. Wednesday                                                June 5th 6:00-7:30 pm
Fun activities at Bethany Baptist Church for ages 4 years through 5th grade...includes GaGa Ball, Sciency-Fun Surprising Bible Lessons, and Yummy Treats.  Fill out ONE registration for the children in each family. If there are more than 4 children in your family, please fill out a 2nd registration. 
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Child #1 name, age, allergies or medical condition we need to know about. *
Child #2 name, age, allergies or medical condition we need to know about.
Child #3 name, age, allergies or medical condition we need to know about 
Child #4 name, age, allergies or medical condition we need to know about 
Names of parents or guardians  *
Address, City, State, Zip code *
Phone number *
Email (if don't have an email, write "none") *
Who is allowed to pick up child/children besides parents/guardians listed above? *
IN CASE OF EMERGENCY: If unable to reach you at the above phone number, who should be called?  Give name and phone number.  *
PHOTOS taken during the event may be used to promote future children events at Bethany Baptist Church. NO NAMES WILL BE USED WITH THE PHOTOS.  *
DATE *
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