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Community Baptist Church
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Name
(
Required
)
Email Address
(
Required
)
Your Phone Number (
Required
)
Would you be interested in attending the trip? (
Required
)
Please note a $25.00 non-refundable deposit is required.
Yes
No (See below, to sponsor a youth)
Please list all the names registering for the trip. Include the ages of the youth. (
Required
)
I would like to sponsor a youth!
No
$25.00
$50.00
$75.00
$100.00
Solve 5 + 3 = ?
Submit