REGISTRATION FORM - MASTER - West Jacksonville Baptist

Spring Spectacular / March 23, 2024

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Street Address (including Apt# if applicable) *

City *

State *

Zip *

***Only register children from the same household on one form***

Child 1 - Name *

First

Last

Age *

Gender *

Grade *

Child 2 - Name *

First

Last

Age *

Gender *

Grade *

Child 3 - Name *

First

Last

Age *

Gender *

Grade *

Child 4 - Name *

First

Last

Age *

Gender *

Grade *

Child 5 - Name *

First

Last

Age *

Gender *

Grade *

West Jacksonville Baptist Church routinely photographs/video records church services and events such as this because we see the value they bring in helping our ministry reach the community. We also want to respect you and your family's privacy and ask that you let us know whether you wish to be photographed or video recorded.

West Jacksonville Baptist Church volunteers/leaders have permission to photograph/film the minor(s) designated above for any lawful purpose associated with this program. *

Yes No

Submit