Grace Baptist Church: Come worship with us!

A New Day Registration

Please complete the registration form below.

Contact Information

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First Name:

Last Name:

E-mail:

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Address:

Address 2:

City:

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Zip:

Daytime Phone:

Evening Phone:

Member Status:

Childcare Information

*Childcare is for children ages 10 and under. Please be sure to list each child's age as well as any special instructions that should be noted for each child. i.e. - allergies, medicines, etc. Please enter the children ages in as numbers seperated by a comma (ie. - 4,3,7)

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