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Permission Form
First Baptist Church St. Marys
Saturday, April 10, 2021
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Name
Local Address
City
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St. Marys
Kingsland
Woodbine
Other
State
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Georgia
Florida
Other
ZIP
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31558
31548
31569
Other
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Address
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Home Phone
Cell
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Email
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Member of a church?
(Check for Yes)
Name of your church (if other than FBC St. Marys)
Your Age Group (pick one)
18-35
36-54
55-65
66-plus
OPTIONAL
To help us keep our records up to date, please complete the following:
Your birthday (ex. 05/23/1961)
Spouse name
Spouse birthday
Anniversary
Children at home:
Child 1
Child 1 birthday
Child 2
Child 2 birthday
Child 3
Child 3 birthday
Child 4
Child 4 birthday
Other pertinent information:
Type the number you see above