2017 Oak Grove Baptist Church Emergency Information
Please complete this form to serve as our emergency information and authorization form for church activities/events. If you have not already please join the remind text link- enter this number on your phone 81010 and text this message: @ogbcyouth
Student Name *
Your answer
Gender *
T-shirt Size *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Grade in August 2017 *
Student Email
Your answer
Parent Email
Your answer
Mailing Address (street, city, state & zip code) *
Your answer
Student Cell Phone (parent's will be asked later, if student does not have a phone put none) *
Your answer
Is the student allowed to send and receive texts? *
Parent/Guardian Name(s) *
Your answer
Does the parent/guardian receive text messaging? *
Parent/Guardian Phone Number *
Your answer
Emergency Contact Name should the parent/guardian not be available, whom should we contact in case of emergency *
Your answer
Emergency Contact Phone Number *
Your answer
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