First Baptist
Church of
Dallas
Georgia
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Sunday
8:30 & 11:00 AM Worship
9:45 AM Sunday School

Wednesday
6:30 PM Services & Activities



June11-15, 2012
4 yr old - 6th gr
(young children attend with volunteers)

Registration Form
Child' Name:
Guardian's  Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
Home Phone:
Work  Phone:
 Cell Phone:  
Email:
Age Info
Birth date &
Last grade
completed
 Medical Info Food Allergies etc.:  
 Emergency Contact 1:  
 Emergency Contact 2:  
 Dismissal Info Who can pick your child up?:  
 Do you attend Sunday School? Where?:  
 If you are visiting our church, who are you a guest of?:  
 May we have permission to photograph your child? May we use the photo for purposes of promotion? Yes or No:  

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