Locust Grove Baptist Cross Fit Camp 2018 Registration
Child's Last Name *
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Child's First Name *
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Parent/Guardian Name *
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Address *
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E-mail Address
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Phone Numbers (Best # for you to be reached) *
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Age *
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Last School Grade Completed *
Home Church
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Allergies/Medical Information/Other
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Emergency Contacts (Name and Number) *
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Dismissal Information - (Name(s) of person(s) who may pick up this child from Cross Fit Camp *
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