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Westphal Avenue Baptist Church
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Westphal Avenue Baptist
July 27th through August 1st 
6:30 pm - 8:30 pm
Student Name (Required)
Parentt/Guardian Name
Relationship to Student
Student Address (Required)
physical address (no POs)
Emergency Contact (Required)
In the event of an emergency, who do we contact? Phone number?
Age Group (Required)
Does the student need transportation to church this week?
Westphal Avenue Baptist Church
780 Westphal Avenue
Whitehall, OH 43213
(614) 313-5881
westphalbaptist@gmail.com
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