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LaBelle Students Info Card
Every student in Grades 6th-College that completes this form will receive a special gift in the mail
Must live within 30 miles of LaBelle Haven Baptist Church in Olive Branch, MS
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Email
*
Your email
First and Last Name
*
Your answer
Date of Birth
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MM
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DD
/
YYYY
Home Address
*
Your answer
School
*
Your answer
Grade
*
Your answer
Parent/Guardian Phone Number
*
Your answer
T-Shirt Size
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