January 17-19 - You must also have a Medical Release for and Consent to Transport form which can be printed from our website,
. These forms must be completed and notarized. A notary is available in the church office from 8 am - 5 pm Monday-Friday (closed 12-1 for lunch). THE COST NOW IS $40. MAIL OR BRING CHECK TO: FBC SUMRALL, 169 CENTER AVE., SUMRALL, MS 39482
Student Last Name
Student First Name
Mailing Address (Street or PO Box)
City, State Zip
Church you currently attend:
Student Cell Number (put N/A if no student phone)
Parent/Guardian Cell Number
Emergency Contact (other than parent/guardian) list name and cell number
A copy of your responses will be emailed to the address you provided.
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This form was created inside of First Baptist Church Sumrall.