Basketball Camp 2019
at First Baptist of Alachua

Parent/Guardian Name:
Street Address:
Zip Code:
Home Phone:
Emergency/Cell Phone:
Email:
Church name: FBC Alachua
Other

I give my permission for my child to appear in photos taken during the basketball camp to be displayed at a church function.
Type initials for signature:

  Name Date of Birth Age Grade Completed Allergies Other Notes
Child 1
Child 2
Child 3
Child 4
Child 5