RAD WEEKEND 2024

January 26-28, 2024 | RAD Weekend is a weekend where students get a chance to step out of their day to day life and focus on Jesus. This weekend is full of Worship, Fun, Fellowship, and more.

Name

This address will receive a confirmation email

Phone

Address

Gender

Please select one option.

Male Female

Grade

Please select one option.

6 7 8 9 10 11 12

T-Shirt Size

Please select one option.

Adult Small Adult Medium Adult Large Adult Extra Large Adult 2X Adult 3x

Do you have any daily medications?

Please select one option.

Yes No Option

All medication must be in the original bottle with the student's name on it.

If yes, please list the medication and any other information below.

Do you have any health concerns we need to be aware about?

Please select one option.

Yes No Option

If yes, please list the health concerns below.

Do you have food allergies/special dietary needs?

Please select one option.

Yes No

Examples:
Allergies- Shellfish, dairy, peanuts etc.

Dietary Needs- Vegetarian, Diabetic, Gluten Free etc.

If you answered yes, please list your allergies below.

Home Church

Please select one option.

Northside Baptist Church First Baptist Victoria First Baptist Port Lavaca Sportsman First Baptist Refugio Baptist Temple Edna Vanderbilt Baptist First Baptist Ganado

Invited By:

Parents Name

Parents Phone Number

Payment

Full Payment ($50.00) Pay in office ($0.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

January 26-28, 2024

RAD Weekend is a weekend where students get a chance to step out of their day to day life and focus on Jesus. This weekend is full of Worship, Fun, Fellowship, and more.

RAD WEEKEND 2024

Description

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