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First Baptist Church Student #1

 
Student's FIRST Name *

 
Student's LAST Name *

 
Student's Phone Number *

(example 814.695.0460)
 
Student's Grade *


 
Student's Gender *


 
Phone Number of PARENT or GUARDIAN *

(example: 814.695.4060)
 
Email address of PARENT or GUARDIAN *


 
Do you need to register another student? *

     
 
First Baptist Church Student #2

 
Student's FIRST Name *

 
Student's LAST Name *

 
Student's Phone Number *

(example 814.695.0460)
 
Student's Grade *


 
Student's Gender *


 
Phone Number of PARENT or GUARDIAN *


 
Email address of PARENT or GUARDIAN *


 
Do you need to register another student? *

     
 
First Baptist Church Student #3

 
Student's FIRST Name *

 
Student's LAST Name *

 
Student's Phone Number *

(example 814.695.0460)
 
Student's Grade *


 
Student's Gender *


 
Phone Number of PARENT or GUARDIAN *


 
Email address of PARENT or GUARDIAN *


 
Do you need to register another student? *

     
 
First Baptist Church Student #4

 
Student's FIRST Name *

 
Student's LAST Name *

 
Student's Phone Number *

(example 814.695.0460)
 
Student's Grade *


 
Student's Gender *


 
Phone Number of PARENT or GUARDIAN *


 
Email address of PARENT or GUARDIAN *


 
Do you need to register another student? *

     
 
If you need to register more than 4 students, please contact us
pastorbryan@gbclive.org

 
Grace Student #1

 
Student's FIRST Name *

 
Student's LAST Name *

 
Student's Phone Number *

(example 814.695.0460)
 
Student's Grade *


 
Student's Gender *


 
Phone Number of PARENT or GUARDIAN *

(example: 814.695.4060)
 
Email address of PARENT or GUARDIAN *


 
Do you need to register another student? *

     
 
Grace Student #2

 
Student's FIRST Name *

 
Student's LAST Name *

 
Student's Phone Number *

(example 814.695.0460)
 
Student's Grade *


 
Student's Gender *


 
Phone Number of PARENT or GUARDIAN *


 
Email address of PARENT or GUARDIAN *


 
Do you need to register another student? *

     
 
Grace Student #3

 
Student's FIRST Name *

 
Student's LAST Name *

 
Student's Phone Number *

(example 814.695.0460)
 
Student's Grade *


 
Student's Gender *


 
Phone Number of PARENT or GUARDIAN *


 
Email address of PARENT or GUARDIAN *


 
Do you need to register another student? *

     
 
Grace Student #4

 
Student's FIRST Name *

 
Student's LAST Name *

 
Student's Phone Number *

(example 814.695.0460)
 
Student's Grade *


 
Student's Gender *


 
Phone Number of PARENT or GUARDIAN *


 
Email address of PARENT or GUARDIAN *


 
Do you need to register another student? *

     
 
If you need to register more than 4 students, please contact us
pastorbryan@gbclive.org

 
$80/person and a Permission Form are due by January 7.
*$95/person if after January 7

 
Winter Camp Registration {{var_price}} *

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Contact Pastor Bryan with questions
814.201.4435
pastorbryan@gbclive.org
Online Consent Form
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You should receive an email confirming your registration for Winter Camp.

Click the button below to download your permission form or contact

Pastor Jared
847.571.3578
First Baptist Ignite Permission Form
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