Spring Valley Baptist Church: Home: Music & Missions Registration

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Music & Missions Registration

* Required

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Registration for *

Music & Missions Classes

Music ONLY

Missions ONLY

Child's First Name *

Child's Last Name *

Child is a *

Boy

Girl

Birth Date *

Address Line 1 *

Address Line 2

City *

ZIP Code *

Parent's Name (First and Last) *

Home Phone *
( ) - ext.

Parent's Cell Number *
( ) - ext.

In case of emergency, where on the church campus will you be located? (ex. teaching, in a Bible study, etc.) *

Emergency Name and Phone Number (in case parent can't be located) *

Parent's email address *

I am interested in helping with props, staging, costumes, or fellowship

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