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Pastor – Wes Hodges
Youth Pastor – Cody Snow
Worship Leader – Misti Snow
Secretary – Ms. Sharon Snowden
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Menu
Home
About EFBC
Service Times
Leadership
Pastor – Wes Hodges
Youth Pastor – Cody Snow
Worship Leader – Misti Snow
Secretary – Ms. Sharon Snowden
Maintenance Staff
I’m New – What to Expect
Contact Information and Directions
Ministries
Children’s Ministry
Student Ministry
Worship Ministry
Men’s Ministry
Women’s Ministry
Food Pantry
Prayer Request
Live Stream
Watch Or Listen to Sermons
Events
Calendar
Give
Live Stream
Watch Videos
Watch Sermons
Theology Thursday
Wisdom Wednesdays
Sorry Registration is Closed
Child’s Name
Date of Birth
Grade Completed
Physical Address
City
Zip Code
Mailing Address (if Different)
City
Zip Code
Mother or Guardian Name
Place of Employment:
Cell Phone
Work Phone
Email
Father or Guardian Name
Place of Employment:
Cell Phone
Work Phone
Email
Emergency Contact
Relationship
Cell Phone
Other Phone
Child resides with
Mother
Father
Both
Guardian
Authorized Pickup Person 1
Pickup Person 1 Phone
Authorized Pickup Person 2
Pickup Person 2 Phone
Authorized Pickup Person 3
Pickup Person 3 Phone
Please indicate if your child will be attending all 3 days or if not, what days they will attend:
Tuesday
Wednesday
Thursday
All 3 Days
Please list any other information you’d like to include about your child.
Child’s Doctor
Dr Phone #
Medical Conditions
List all current medications regardless of whether it needs to be taken while under our care or not.
Will your child need to take prescription medications while under our care? (If yes, please request a medical dispensing form when you arrive at camp. You will need to fill out the form place, place it along with the medication in a Ziplock bag with your child’s name on it and give it to Pam Montague (Camp Director). Medication must be in original container. )
YES
NO
Food Allergies
Medication Allergies
Insects Allergies
Other Allergies
Does your child have an Epi-Pen for allergic reactions? (If yes, you must provide us with an Epi-pen to be kept with us while your child is under our care. Epi-pen must be accompanied with a current prescription. )
YES
NO
Specific activities that my child is to be restricted from due to health reasons:
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