Gospel Water Branch Baptist Church - Summer Enrichment Registration

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GWBBC 2009 Summer Enrichment Registration Form

Ages: 4 - 14 or Grades Pre-K to 8th

Registration Fee: $30.00 (non-refundable)

Registration fees and other payments can be made three (3) ways:

1. Given to the Administrative Secretary at the church office.

2. Mailed to the church at the address listed below.

3. Paid online by clicking on this link Online Summer Enrichment Payments.

Please be sure to indicate Summer Enrichment on your check, money, or online payment.

Gospel Water Branch Baptist Church
ATTN: Summer Enrichment
703 Fury's Ferry Road
Evans, GA 30809

If you have questions, or would like more information, please call the Church Office @ 706-860-7091 or email us @ summer_enrichment @ gospelwater.org.

Thank you registering, we look forward to meeting you and your child and to having another successful Summer Enrichment Program!!

Child's Last Name:
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Child's First Name:
*
Parent or Legal Guardian's Last Name:
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Parent or Legal Guardian's First Name:
*
Home Phone Number:
*
Work Phone Number:
*
Cell number:
Address:
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City:
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State:
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Zip Code:
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Email Address: (optional)
Last Grade Completed:
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T-Shirt Size

Other T-shirt size: (Please specify)

Please check which programs your child will be participating in:

Pre-Enrichment Care (May 26-29 2009) Hours: (6:30am - 6:00pm) Fee: $75.00 per week
Enrichment Program (June 1-July 17 2009) Hours: (10:00am - 2:00pm) Fee: $65.00 per week
Full Summer Enrichment Program (May 26-July 17 2009) Hours: (6:30am - 6:00pm) Fee: $75.00 per week
Security code:
*
Do not enter anything in this field:

* indicates a required field

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Gospel Water Branch Baptist Church

703 Fury's Ferry Road | Evans, Georgia 30809 | Phone: 706-860-7091