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 Impact Registration Form

Impact
 
First Baptist Church of Lakeside
 
March 7, 2009
9:00 a.m. - 4:00 p.m.
(Lunch provided)
Cost $20.00 per adult.
Children & Students are free!
 
Please fill out this application to make reservations for
IMPACT
 
Last Name:  
First Name: 
Spouse:        
Child:               Age/Grade:
Child:                    Age/Grade:
Child:                    Age/Grade:
Child:                    Age/Grade:
Address:         
City:                 
Zip:                 
Telephone: 
Email:            
 


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