Sign-Up Form

Biblesandbasketball.net
Date: June 17, 2017 Saturday
Location: Bell Shoals Baptist Church
Time: 9am – 11am

Age Child’s Name Parent or Guardian’s Name E-Mail Address Phone #

$20 Per Child Checks Payable to Bell Shoals Baptist Church
If paid in advance by Friday: June 16, 2017

$10 VIP Seating Checks Payable to Bell Shoals Baptist Church

You may take this form directly to Bell Shoals Baptist Church
Then place this form and your check in an envelope and put the address:
Biblesandbasketball.net
Attn: Ed Treimanis/ Gary Payne
Bel Shoals Baptist Church
2102 Bell Shoals Road
Brandon, FL 33511

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