Rubber City Youth Rally Registration

Church Name(*)
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Your name or name of your group leader(*)
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Email Address(*)
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Church Phone Number(*)
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Mailing Address
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How many in your group. (including chaperones)
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I would like to receive information about future events hosted at Community Baptist Temple by:(*)

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Please provide a cell phone number if you would like to be contacted via text messaging.
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Community Baptist Temple
1435 Kelly Ave.
Akron, OH 44306
Email: info@cbtakron.com

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