Love, Joy, Peace...
Selma Original Free Will Baptist Church
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Are you registering as a youth or volunteer? (
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Youth
Volunteer
Name (
Required
)
phone
Not Required for Child
Email
Not required for child
Last Grade Completed
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
n/a - Volunteer
Do you actively attend church?
Yes, Selma OFWB Church
Yes, a different church
No
Emergency Contact Name/Relationship
Emergency Phone Number
Allergies or special needs?
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