Page 29 | East Sunsbury Baptist Church

Student's Name (Required)

Gender (Required)

Male

Female

Parent/Guardian Name (Required)

Parent/Guardian Phone Number (Required)

Emergency Contact (Required)

In the event of an emergency, who do we contact? Phone number?

Allergies or Medical Info (Required)

Birthday (Required)

Grade (completed in 2025) (Required)

Your Address (Required)

Name of Home Church

EAST SUNSBURY BAPTIST CHURCH

50595 Bolon Ridge Rd.

Beallsville, OH 43716

(740) 926-1377

Psalm 37:23-24

"The steps of a good man are ordered by the LORD: And he delighteth in his way. Though he fall, he shall not be utterly cast down: For the LORD upholdeth him with his hand."

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