Travel with Us to Providence Baptist Church

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Walker Memorial is heading to Providence Baptist Church in Orleans, VA for the closing night of their revival on Friday, June 19.

The bus will depart from Walker Memorial Baptist Church at 5:00 PM on June 19 and will return to Walker Memorial after the program concludes.

If you plan to ride the bus with WMBC, please complete the form below. One form per household is sufficient, as long as each rider’s name is included.

If your availability changes after submitting, please email admin@walkerbaptistdc.org so we can update our records.

We look forward to representing WMBC in love, fellowship, and unity.

Email *

Name *

Phone Number *

Food allergies or other medical conditions for anyone in your group ( Type N/A if there are none) *

Emergency Contact Name (This should be a person who is NOT also riding the bus) *

Emergency Contact Phone Number *

Emergency Contact Relationship *

Please list any additional Attendee Name(s) and Phone Number

Is/are the above attendee(s) under 18?

Yes

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Send me a copy of my responses.

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