Twelve Ryan Baptist Church
Pastor Eddie Bowen - (586) 573-0990
If you have any questions or if you would like to register your child for Vacation Bible School, please fill out the form below.
CHILD'S NAME *
  MALEFEMALE
ADDRESS
CITY
Zip Code: (5 digits)
DATE OF BIRTH *
AGE *
LAST GRADE COMPLETED: *
T-SHIRT SIZE: CHILD WILL GET A FREE SHIRT
PARENT / GUARDIAN: *
BEST CONTACT NUMBER: *
ALLERGIES / MEDICAL CONDITIONS:
 WOULD YOU LIKE YOUR CHILD PICKED UP ON THE BUS? YESNO
ALLOW YOUR CHILD TO BE PHOTOGRAPHED FOR CHURCH USE ONLY?:
QUESTIONS OR COMMENTS

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