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East Leesville Baptist Church
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Attention all students/adults going to M-Fuge!

I need you to go to the link listed below and fill out the Participant Form at your earliest convenience.

You should gather the following items/info before you begin:

  1. Our ELBC Registration ID # 761263

(When you start the form and put in the Registration ID,  the "church info" will auto fill)

  1. Digital copy or photo of the front and back of your medical insurance card
  2. We are going to Mississippi College 27 Jun - 2 Jul
  3. Date of last Tetanus immunization
  4. Medications you are taking
  5. Contact info for doctor
  6. Emergency contact info


This link is for Parent information

Second link: