Adult Contact Information
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1Adult Contact Information
First Baptist Church, Rockport, MA
Name _______________________________________________
Address _______________________________________________
________________________________________________
Phone/cell #
_________________________
________________________
Cori Registered
___ yes
___ no
In case of emergency call:
________________________________
Relationship ________________________________
Landline/cell #s
#__________________________
#___________________________
_________________________________________________
_____
Signature
Date
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