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ENTRY FORM

This Entry Form is for the First Baptist Lavaca National Sign Language Choir Celebration to be held at First Baptist Lavaca on May 18, 19, 20, 2007 . By completing and submitting this Entry Form, the sponsoring church or organization agrees to be bound by the Official Guidelines for the First Baptist Lavaca National Sign Language Choir Celebration.

Number of participants in the choir _____ (minimum of 4)

Name of church or organization _____________________________________________

Choir Director ____________________________________________ (Please Print)

Name, telephone number(s) and email address of choir director or other appointed adult of

sponsoring ______________________________________________________________

Address of sponsoring church or organization __________________________________

Street Address ___________________________________________________________

City, State and Zip Code ___________________________________________________




This signature verifies that ___________________________________________

the participating church or organization has received, read and understands the
official guidelines set forth for the Hands In Christ Deaf Ministry "Hands Raised In Praise" Celebration.

Print Name

__________________________________________

Signature Of Person Signing Form On Behalf Of Choir

__________________________________________

Date ______________________________________

FILING INSTRUCTIONS: The Entry Form and the Official Guidelines are available at the First Baptist Lavaca Church Office located at 100 West Main Street, Lavaca, Arkansas 72941. Completed Entry Forms can also be faxed to the First Baptist Lavaca Office at (479) 674- 2293. (Attention: Choir Celebration). If you have questions about this form, please call: Dee Mathes 479-674-3134 voice/tty

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