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« All Events
Event Series:
Next Level Faith: A Summer Experience for Ages 9-14
Next Level Faith: A Summer Experience for Ages 9-14
June 22 @ 8:30 am
-
5:30 pm
«
Next Level Faith: A Summer Experience for Ages 9-14
Next Level Faith: A Summer Experience for Ages 9-14
»
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Please enable JavaScript in your browser to complete this form.
Next Level Faith
Summer Christian Experience Application
Primary Parent/Guardian
Parent/Guardian Name
*
First
Last
Relationship
*
--- Select Choice ---
I am a legal guardian/custodial parent
I am NOT a legal guardian/custodial parent
Parent/Guardian Address
*
Address Line 1
Address Line 2
City
--- Select state ---
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State
Zip Code
Parent/Guardian Work Phone
Parent/Guardian Cell Phone
*
list Address Parent/Guardian
Email
*
Do you want to list a second parent/guardian?
*
Yes
No
Second Parent/Guardian
Second Parent/Guardian
First
Last
Relationship
I am a legal guardian/custodial parent
I am NOT a legal guardian/custodial parent
Second Parent/Guardian Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Second Parent/Guardian Work Phone
Second Parent/Guardian Cell Phone
Second Parent/Guardian Email
*
Participant Application - Ages 9 to 14 Years Old
Name
*
First
Middle
Last
Preferred Name
Gender
*
Male
Female
Date of Birth
*
Grade (For 2025-2026 School Year)
*
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Details
Date:
June 22
Time:
8:30 am - 5:30 pm
Series:
Next Level Faith: A Summer Experience for Ages 9-14
Website:
https://whiterockbaptistchurch.org/summer-christian-experience-for-children-application/
Organizer
White Rock Baptist Church
Venue
3400 Fayetteville Street, Durham, NC 27707