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First Baptist ChurchFirst Baptist Church Jennings
1001 Cary Ave.
Jennings, LA 70546
3378243271
www.fbcjennings.comMedical Release Form/Permission to Treat
PERSONAL INFORMATION:
Name of Participant:DOB:SSN:Age://Age:Gender:Address:
City:State:Zip:EMERGENCY
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How to fill out first baptist church
01
Obtain a membership form from the church office or website.
02
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03
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06
Return the completed form to the church office or submit it electronically.
07
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